Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD021483E | PA |
NPI | 1043203375 |
---|---|
Provider Name | Dr. Robert B Doll JR. |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 18/11/2015 |