Provider Demographics
NPI:1881876621
Name:LEDWITH, ROBERT E (PA)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:LEDWITH
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1719
Mailing Address - Street 2:68B ROUTE 6A
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-1719
Mailing Address - Country:US
Mailing Address - Phone:508-833-0269
Mailing Address - Fax:508-833-1467
Practice Address - Street 1:68B ROUTE 6A
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-1719
Practice Address - Country:US
Practice Address - Phone:508-833-0269
Practice Address - Fax:508-833-1467
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2016-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA627208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics