Individual
MR. ROBERT WILLIAM WORMUTH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
927 49TH ST, BROOKLYN, NY 11219-2923
(718) 283-7400
(718) 283-6199
Mailing address
927 49TH ST, BROOKLYN, NY 11219-2923
(718) 283-7400
(718) 283-6199
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004713-1
NY
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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