Provider Demographics
NPI:1023006046
Name:FILOSA, ROBERT J (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:FILOSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1000 WALNUT STREET
Mailing Address - Street 2:STE 122
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1140
Mailing Address - Country:US
Mailing Address - Phone:215-368-1950
Mailing Address - Fax:215-368-9923
Practice Address - Street 1:1000 WALNUT STREET
Practice Address - Street 2:STE 122
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1140
Practice Address - Country:US
Practice Address - Phone:215-368-1950
Practice Address - Fax:215-368-9923
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD010945E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006776350002Medicaid
PA018728Medicare PIN
PA0006776350002Medicaid