Provider Demographics
NPI:1952742132
Name:HARTSOCK, ROBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:HARTSOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:127 WILMAR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1607
Mailing Address - Country:US
Mailing Address - Phone:412-963-9075
Mailing Address - Fax:412-963-9075
Practice Address - Street 1:127 WILMAR DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1607
Practice Address - Country:US
Practice Address - Phone:412-963-9075
Practice Address - Fax:412-963-9075
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMDO26168L207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB33968Medicare UPIN