Provider Demographics
NPI:1982641288
Name:BARSKY, ROBERT I (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:I
Last Name:BARSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3555
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-0349
Mailing Address - Country:US
Mailing Address - Phone:609-314-7952
Mailing Address - Fax:
Practice Address - Street 1:5 SOUTHWOOD DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2951
Practice Address - Country:US
Practice Address - Phone:609-314-7952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB04137600208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2198100Medicaid
NJ2198100Medicaid
E06095Medicare UPIN