Provider Demographics
NPI:1558371708
Name:DELLINGER, ROBERT KARL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KARL
Last Name:DELLINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 MORGANTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607
Mailing Address - Country:US
Mailing Address - Phone:610-796-6364
Mailing Address - Fax:610-796-6470
Practice Address - Street 1:1623 MORGANTOWN ROAD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607
Practice Address - Country:US
Practice Address - Phone:610-796-6364
Practice Address - Fax:610-796-6470
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034941E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
02742200OtherSR BLUE PPO GROUP
1857201OtherSR BLUE PPO PRACTICE
1857201OtherCAPITAL BLUE CROSS PRACTI
PA0010295400004Medicaid
0020551000OtherINDEPENDENCE BLUE CROSS
02742200OtherCAPITAL BLUE CROSS GROUP
167249OtherTHREE RIVERS
DE476134OtherHIGHMARK BLUE SHIELD
C34530OtherHEALTH AMERICA HEALTH
02742200OtherCAPITAL BLUE CROSS GROUP
167249OtherTHREE RIVERS
1857201OtherCAPITAL BLUE CROSS PRACTI