Individual
DR. ROBERT NORMAN LINDHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1098 W BALTIMORE PIKE, STE 3307, MEDIA, PA 19063-5139
(610) 892-0801
(610) 892-9552
Mailing address
1098 W BALTIMORE PIKE, STE 3307, MEDIA, PA 19063-5139
(610) 892-0801
(610) 892-9552
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD035817E
PA
207Y00000X
Otolaryngology Physician
Primary
MD035817E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080155000
LEYSTONE HEALTHPLAN EAST
—
01
—
1003438
KEYSTONE MERCY
—
01
—
109235YAG
MCR SPECIFIED PIN
PA
Enumeration date
05/12/2006
Last updated
06/26/2008
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