Provider Demographics
NPI:1891780409
Name:DRESSLER, ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:DRESSLER
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 1:4755 OGLETOWN-STANTON ROAD
Mailing Address - Street 2:PO BOX 6001
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718
Mailing Address - Country:US
Mailing Address - Phone:302-733-6343
Mailing Address - Fax:302-733-5342
Practice Address - Street 1:4755 OGLETOWN-STANTON ROAD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718
Practice Address - Country:US
Practice Address - Phone:302-733-6343
Practice Address - Fax:302-733-5342
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0003838207RN0300X
MDD0054297207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000417901Medicaid
NJ8818304Medicare ID - Type Unspecified
MD504900800Medicare ID - Type Unspecified
A60882Medicare UPIN
DE0000417901Medicaid
MD036M802EMedicare ID - Type Unspecified