Individual
ROBERT GREVILLE BRUMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 TUCK ST, SUITE 1, LEBANON, PA 17042-7478
(717) 273-5395
Mailing address
855 TUCK ST STE 1, LEBANON, PA 17042-7214
(717) 273-5395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD422572
PA
208M00000X
Hospitalist Physician
Primary
MD422572
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100983589
—
PA
01
—
1628596
HIGHMARK BLUE SHIELD
PA
01
—
243866
HEALTHAM/HEALTH ASSURANCE
PA
Enumeration date
07/06/2006
Last updated
09/12/2024
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