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Individual
DR. ROBERT C VILLARE
Active
Individual
DR. ROBERT C VILLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
MD039406L
PA
208600000X
Surgery Physician
25MA04703400
NJ
208600000X
Surgery Physician
C10005653
DE
208600000X
Surgery Physician
MD039406L
PA
2086S0129X
Vascular Surgery Physician
25MA04703400
NJ
2086S0129X
Vascular Surgery Physician
C10005653
DE
2086S0129X
Vascular Surgery Physician
Primary
MD039406L
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA04703400
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C10005653
DE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD039406L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000002081
—
DE
Enumeration date
09/06/2005
Last updated
02/18/2015
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