Provider Demographics
NPI:1689695819
Name:ROBERT A. SYLVESTER, MD, PA
Entity Type:Organization
Organization Name:ROBERT A. SYLVESTER, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SYLVESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-784-1323
Mailing Address - Street 1:10 HIGH ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7640
Mailing Address - Country:US
Mailing Address - Phone:207-784-1323
Mailing Address - Fax:207-777-3394
Practice Address - Street 1:10 HIGH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7640
Practice Address - Country:US
Practice Address - Phone:207-784-1323
Practice Address - Fax:207-777-3394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEME0874Medicare PIN