Provider Demographics
NPI:1972523181
Name:ROBERT CHERREY
Entity Type:Organization
Organization Name:ROBERT CHERREY
Other - Org Name:ROBERT M. CHERREY, D.O.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:CHERREY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-491-4665
Mailing Address - Street 1:1432 EASTON RD
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2852
Mailing Address - Country:US
Mailing Address - Phone:215-491-4665
Mailing Address - Fax:215-491-4602
Practice Address - Street 1:1432 EASTON RD
Practice Address - Street 2:SUITE 2E
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2852
Practice Address - Country:US
Practice Address - Phone:215-491-4665
Practice Address - Fax:215-491-4602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-005111L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2016669002OtherIBC HMO GROUP ID
PA0015725670007Medicaid
PA2678682OtherAETNA GROUP ID
PA0778503000OtherIBC HMO INDIVIDUAL ID
PA1050233OtherKEYSTONE MERCY ID
PA5823086OtherAETNA INDIVIDUAL ID
PAE70454Medicare UPIN
637640SFPMedicare ID - Type UnspecifiedINDIVIDUAL PROVIDER ID
PA1050233OtherKEYSTONE MERCY ID