Provider Demographics
NPI:1649064890
Name:STEINBOCK, ROBERT THEODORE JR (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:THEODORE
Last Name:STEINBOCK
Suffix:JR
Gender:
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:TEDDY
Other - Middle Name:
Other - Last Name:STEINBOCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1720 LOMBARD ST APT PH1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1544
Mailing Address - Country:US
Mailing Address - Phone:502-681-5834
Mailing Address - Fax:
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5491
Practice Address - Country:US
Practice Address - Phone:617-667-4344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3018580207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology