Ditrolio, Robert

Ditrolio, Robert is an individual health care provider with primary practice located at 30 Medical Center Blvd Suite 404, Upland PA 19013-3955. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ditrolio, Robert can be contacted via phone (610) 619-8590.

Contact Information

Primary practice address
30 Medical Center Blvd Suite 404 Upland PA 19013-3955
Fax: (610) 619-8591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS008262L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS008262L Pennsylvania

Profile Details

NPI number 1669498861
LBN Legal business name Ditrolio, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 1st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669498861 NPPES
Pennsylvania MEDICAID 1496492

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