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Individual
DR. ROBERT MARTIN CHERREY
Active
Individual
DR. ROBERT MARTIN CHERREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS-005111L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015725670007
—
PA
01
—
0778503000
IBC HMO INDIVIDUAL ID
PA
01
—
1050233
KEYSTONE MERCY ID
PA
01
—
2016669002
IBC HMO GROUP ID
PA
01
—
2678682
AETNA GROUP ID
PA
01
—
5823086
AETNA INDIVIDUAL ID
PA
Enumeration date
06/06/2006
Last updated
07/08/2007
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