Provider Demographics
NPI:1891763421
Name:ROSCHEL, ROBERT L (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:ROSCHEL
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 1:203 N LIME ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2729
Mailing Address - Country:US
Mailing Address - Phone:717-392-6267
Mailing Address - Fax:717-392-6059
Practice Address - Street 1:203 N LIME ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2729
Practice Address - Country:US
Practice Address - Phone:717-392-6267
Practice Address - Fax:717-392-6059
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026880L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07003587OtherRR MEDICARE
PA016288OtherBLUE SHIELD
PA22124OtherOTHER INSURANCE
PA562890OtherAETNA
PA9421OtherH. AMERICA H. ASSURANCE
PA03243101OtherCAP. BLUE CROSS
PA22124OtherOTHER INSURANCE
PA07003587OtherRR MEDICARE