Provider Demographics
NPI:1063474203
Name:ENGLAND, ROBERT EUGENE (PA)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:EUGENE
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:409 S 2ND ST STE 2F
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:717-865-6644
Mailing Address - Fax:717-865-5666
Practice Address - Street 1:120 S. TAN STREET SUITE1
Practice Address - Street 2:FREDERICKSBURG COMMUNITY HEALTH CENTER PC
Practice Address - City:FREDERICKSBURG
Practice Address - State:PA
Practice Address - Zip Code:17026-0009
Practice Address - Country:US
Practice Address - Phone:717-865-6644
Practice Address - Fax:717-865-7321
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2020-12-12
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Provider Licenses
StateLicense IDTaxonomies
PAMA002694L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S76172Medicare UPIN
PA022759HE2Medicare PIN