Provider Demographics
NPI:1487634416
Name:DONOFRIO, ROBERT J (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:DONOFRIO
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 VANADIUM RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1497
Mailing Address - Country:US
Mailing Address - Phone:412-429-0880
Mailing Address - Fax:412-429-1622
Practice Address - Street 1:363 VANADIUM RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1497
Practice Address - Country:US
Practice Address - Phone:412-429-0880
Practice Address - Fax:412-429-1622
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020596E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0592354OtherCIGNA
925893OtherFIRST HEALTH
10286OtherHEALTH AMERICA
1002251OtherGATEWAY
962411OtherUNITED HEALTH CARE
127153OtherHIGHMARK
200708OtherUPMC
4020710OtherAETNA
90716OtherUNISON
B34659OtherTRICARE
10286OtherHEALTH AMERICA
B34659OtherTRICARE
PA127153Medicare ID - Type Unspecified