Provider Demographics
NPI:1790954253
Name:CATHOR, ROBERT PAUL (PA-C)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:PAUL
Last Name:CATHOR
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 THOMAS JOHNSON DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4599
Mailing Address - Country:US
Mailing Address - Phone:301-624-5566
Mailing Address - Fax:301-624-5542
Practice Address - Street 1:56 THOMAS JOHNSON DRIVE
Practice Address - Street 2:STE 110
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4599
Practice Address - Country:US
Practice Address - Phone:301-624-5566
Practice Address - Fax:301-624-5542
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0003518363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical