Provider Demographics
NPI:1124016845
Name:CORBA, ROBERT J (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:CORBA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:250 CETRONIA ROAD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9168
Mailing Address - Country:US
Mailing Address - Phone:610-973-6200
Mailing Address - Fax:610-973-6545
Practice Address - Street 1:250 CETRONIA ROAD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9168
Practice Address - Country:US
Practice Address - Phone:610-973-6200
Practice Address - Fax:610-973-6545
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2012-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS008439L207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0739805000OtherINDEP. BLUE CROSS
PA0545622OtherHIGHMARK
PA0545622OtherKHP CENTRAL
PA30000047OtherKEYSTONE MERCY
PA2438785OtherAETNA
PAP2616743OtherOXFORD
PA12447OtherTHREE RIVERS
PA20008204OtherAMERIHEALTH MERCY
PA50106954OtherCAP. BLUE CROSS
PA6647322-004OtherCIGNA
PA01512925OtherGATEWAY
PA0017114370Medicaid
PA6647322-004OtherCIGNA
PA545622EDCMedicare PIN