| Robert A Davis, Md Family Practice | |
|
145 N Main St # 200 Dublin PA 18917-2107 | |
| (215) 249-9020 | |
| (215) 249-3469 |
| Full Name | Robert A Davis, Md Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 145 N Main St # 200, Dublin, Pennsylvania |
| Authorized Official Name and Position | Patricia Hoffman (ADMINISTRATOR) |
| Authorized Official Contact | 2677364850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A Davis, Md Family Practice Po Box 77 Dublin PA 18917-0077 Ph: (152) 429-0202 | Robert A Davis, Md Family Practice 145 N Main St # 200 Dublin PA 18917-2107 Ph: (215) 249-9020 |
| NPI Number | 1396776563 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 12/30/2023 |
| Medicare PECOS PAC ID | 1153492251 |
|---|---|
| Medicare Enrollment ID | O20080617000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396776563 | NPI | - | NPPES |
| 0009959160011 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD039330L (Pennsylvania) | Primary |
| Provider Name | Robert A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801821491 PECOS PAC ID: 5294829727 Enrollment ID: I20080604000725 |
Dublin Internal Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 N Main St, Dublin, PA 18917 Phone: 215-249-1500 | |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 N Main St, Dublin, PA 18917 Phone: 215-249-1500 Fax: 215-249-1040 |