Provider Demographics
NPI:1689645749
Name:HARKINS, ROBERT S (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:HARKINS
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 1:209 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-1905
Mailing Address - Country:US
Mailing Address - Phone:570-366-3885
Mailing Address - Fax:570-366-3887
Practice Address - Street 1:209 E MARKET ST
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-1905
Practice Address - Country:US
Practice Address - Phone:570-366-3885
Practice Address - Fax:570-366-3887
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034102E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001178676Medicaid
PA155243JPUMedicare ID - Type Unspecified
PA001178676Medicaid