# DR. ROBERT C VILLARE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124012273
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | MD039406L | PA | Yes |
| 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

- **Enumeration date:** 09/06/2005
- **Last updated:** 02/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000002081 | — | DE |
