Individual
DR. ROBERT JAY GASTFRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 SHADY LN, ROCKLEDGE, PA 19046-4263
(215) 379-6789
(215) 379-5510
Mailing address
16 SHADY LN, ROCKLEDGE, PA 19046-4263
(215) 379-6789
(215) 379-5510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD031235E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001086912003
—
PA
01
—
0085917000
KEYSTONE
PA
01
—
164051
HIGHMARK BLUE SHIELD
PA
01
—
55207
AETNA
PA
Enumeration date
05/16/2006
Last updated
02/20/2013
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