Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD029398E | PA |
NPI | 1255327185 |
---|---|
Provider Name | Dr. Robert J. Maurer |
First Address | Camp Hill, PA 17011-4407 |
Second Address | Harrisburg, PA 17109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 31/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D71125 | (02) | PA |