Provider Demographics
NPI:1992785471
Name:DELROSARIO, ROBERT (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:DELROSARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LEMOYNE SQ
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043-1230
Mailing Address - Country:US
Mailing Address - Phone:717-737-4511
Mailing Address - Fax:717-909-6659
Practice Address - Street 1:1 LEMOYNE SQ
Practice Address - Street 2:SUITE 201
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1230
Practice Address - Country:US
Practice Address - Phone:717-737-4511
Practice Address - Fax:717-909-6659
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD054133L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50026617OtherCAPITAL BLUE CROSS
PA3090854OtherAETNA HMO PROVIDER NUMBER
PA891209OtherHIGHMARK BLUE SHIELD
PA5700325OtherAETNA PPO PROVIDER NUMBER
PA891209OtherHIGHMARK BLUE SHIELD
PA891209FQXMedicare ID - Type Unspecified