Provider Demographics
NPI:1164491841
Name:ASBURY, ROBERT FROST (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FROST
Last Name:ASBURY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:211 WHITE SPRUCE BLVD
Mailing Address - Street 2:INTERLAKES ONCOLOGY & HEMATOLOGY PC
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1618
Mailing Address - Country:US
Mailing Address - Phone:585-475-8700
Mailing Address - Fax:585-475-9411
Practice Address - Street 1:211 WHITE SPRUCE BLVD
Practice Address - Street 2:INTERLAKES ONCOLOGY & HEMATOLOGY PC
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1618
Practice Address - Country:US
Practice Address - Phone:585-475-8700
Practice Address - Fax:585-475-9411
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY122949-1207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00454600Medicaid
NY12049BMedicare PIN
NY00454600Medicaid