Organization
ROBERT W. CHILDS, MD, AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM CHILDS M.D. (OWNER)
(570) 455-9589
Entity
Organization
Contact information
Practice address
1730 E BROAD ST, SUITE 2, HAZLETON, PA 18201-5622
(570) 455-9589
(570) 455-8848
Mailing address
1730 E BROAD ST, SUITE 2, HAZLETON, PA 18201-5622
(570) 455-9589
(570) 455-8848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD014506E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005875560001
—
PA
Enumeration date
02/16/2008
Last updated
02/16/2008
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