Provider Demographics
NPI:1740237627
Name:SOLLITTO, ROBERT BASIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BASIL
Last Name:SOLLITTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2 VAN BUREN RD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2370
Mailing Address - Country:US
Mailing Address - Phone:856-770-0800
Mailing Address - Fax:856-770-4996
Practice Address - Street 1:2 VAN BUREN RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2370
Practice Address - Country:US
Practice Address - Phone:856-770-0800
Practice Address - Fax:856-770-4996
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06503100207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0292647000OtherKEYSTONE HEALTH PLAN EAST
NJ0860589000OtherAMERIHEALTH
NJ223612347OtherCIGNA PPO
NJ223612347OtherBEECH STREET
NJ0292647000OtherAMERIHEALTH HMO
PAS0706996OtherFEDERAL BC/BS
NJ223612347OtherHORIZON BC/BS
NJ223612347OtherINTERGROUP
NJ920334OtherAMERIHEALTH BLAIR MILL
NJ223612347OtherTRICARE
NJ223612347OtherUNITED HEALTHCARE
NJ706996OtherAMERIHEALTH PPO
NJ2100770OtherAETNA
NJ223612347OtherDEVON
NJ223612347OtherQUALCARE
NJ223612347OtherUNICARE
PA223612347OtherBLUE CROSS/BLUE SHIELD
NJS0706996OtherFEDERAL BC/BS
NJS0706996OtherFEDERAL BC/BS