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Individual

DR. ROBERT LEWIS PESKIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1457 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 716-5520
(804) 716-6687
Mailing address
PO BOX 402924, ATLANTA, GA 30384-2924
(804) 716-5520

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101269403
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01353663
CO
05
10025181600
NE
05
114082500
WY
01
440003946
RAILROAD MEDICARE
CO
Enumeration date
01/24/2006
Last updated
02/01/2022
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