Provider Demographics
NPI:1598853301
Name:SING, ROBERT FONG (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FONG
Last Name:SING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:166 SAXER AVENUE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2225
Mailing Address - Country:US
Mailing Address - Phone:610-328-7262
Mailing Address - Fax:610-328-4440
Practice Address - Street 1:166 SAXER AVENUE
Practice Address - Street 2:
Practice Address - City:SRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2225
Practice Address - Country:US
Practice Address - Phone:610-328-7262
Practice Address - Fax:610-328-4440
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004263L207PS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0712091Medicaid
C32570Medicare UPIN
PA0712091Medicaid