Individual
ROBERT M VERBOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1245 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6258
(610) 402-8896
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6258
(610) 402-8896
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-589691
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
91548
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027794680001
—
PA
01
—
1114261
GEISINGER
PA
01
—
1114261567
HIGHMARK
PA
01
—
12469304
CAQH
PA
01
—
1615791
GATEWAY
PA
01
—
2753807
FIRST PRIORITY
PA
01
—
3889682000
IND. BLUE CROSS
PA
01
—
50112537
CAPITAL ADVANTAGE
PA
01
—
9935980
AETNA
PA
Enumeration date
11/23/2012
Last updated
03/25/2013
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