Provider Demographics
NPI:1508805375
Name:SITZLER, ROBERT DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DAVID
Last Name:SITZLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 SHAWNEE TRL
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3958
Mailing Address - Country:US
Mailing Address - Phone:609-386-3315
Mailing Address - Fax:
Practice Address - Street 1:800 COTTMAN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-3056
Practice Address - Country:US
Practice Address - Phone:215-745-9750
Practice Address - Fax:215-722-0431
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC5392-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA812213OtherPERSONAL CHOICE
PA2962272OtherAETNA
PA0864567000OtherAMERIHEALTH
PA0864567000OtherKEYSTONE HMO
PA2962272OtherAETNA