Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD419522 | PA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD419522 | PA |
NPI | 1124010491 |
---|---|
Provider Name | Robert C. Palumbo |
First Address | Boston, MA 02284-8269 |
Second Address | Allentown, PA 18104-9168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 16/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018972210001 | (05) | PA |
0272222 | KEYSTONE CENTRAL (01) | PA |
0341516000 | KEYSTONE EAST (01) | PA |
200045565 | RAILROAD MEDICARE (01) | PA |
272222 | AMERIHEALTH ADMINISTRATOR (01) | PA |
272222 | BLUE SHIELD (01) | PA |
4002706010 | CIGNA (01) | PA |
4363711 | AETNA (01) | PA |
50001129 | CAPITAL BLUE CROSS (01) | PA |
77850 | GEISINGER (01) | PA |
821052 | FIRST PRIORITY HEALTH (01) | PA |
F63760 | (02) | PA |
P2706695 | OXFORD (01) | PA |