Sergott, Robert Charles

Sergott, Robert Charles is an individual health care provider with primary practice located at 840 Walnut St Suite 930, Philadelphia PA 19107-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sergott, Robert Charles can be contacted via phone (215) 928-3130.

Contact Information

Primary practice address
840 Walnut St Suite 930 Philadelphia PA 19107-5109
Phone: (215) 928-3130
Fax: (215) 592-1923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD018980E Pennsylvania

Profile Details

NPI number 1285634105
LBN Legal business name Sergott, Robert Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 21st, 2022 - about 3 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 1285634105 NPPES
Pennsylvania Other 0053049000 INDEPENDENCE BLUE CROSS
Pennsylvania MEDICAID 000824033 INDEPENDENCE BLUE CROSS
Pennsylvania Other 004332 INDEPENDENCE BLUE CROSS

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