Provider Demographics
NPI:1659307684
Name:BREIT, ROBERT NEWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:NEWELL
Last Name:BREIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:363 VANADIUM RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1497
Mailing Address - Country:US
Mailing Address - Phone:412-279-6697
Mailing Address - Fax:412-279-6757
Practice Address - Street 1:363 VANADIUM RD
Practice Address - Street 2:SUITE 104
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1497
Practice Address - Country:US
Practice Address - Phone:412-279-6697
Practice Address - Fax:412-279-6757
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD029683E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1043192Medicaid
PA1043192Medicaid