Provider Demographics
NPI:1821052622
Name:MORGENSTERN, ROBERT B (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
Last Name:MORGENSTERN
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 1:3150 HIGHLAND RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-4516
Mailing Address - Country:US
Mailing Address - Phone:724-346-9300
Mailing Address - Fax:724-346-5926
Practice Address - Street 1:3150 HIGHLAND RD
Practice Address - Street 2:SUITE 103
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4516
Practice Address - Country:US
Practice Address - Phone:724-346-9300
Practice Address - Fax:724-346-5926
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031724E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA128183OtherBLUE SHIELD
PA128183OtherBLUE SHIELD
PA128183Medicare PIN