Individual
DR. BRET T. SOBOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6822
(717) 531-4907
Mailing address
500 UNIVERSITY DR MC CA410, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD062010L
PA
207YP0228X
Pediatric Otolaryngology Physician
MD062010L
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD062010L
PA
207YX0901X
Otology & Neurotology Physician
MD062010L
PA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD062010L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260034
MEDICAID GROUP #
PA
05
—
1018454060001
—
PA
01
—
120420405
DEPT OF LABOR
PA
01
—
1367953
HIGHMARK BLUESHIELD
PA
01
—
1547181
GATEWAY
PA
01
—
2163302
MAMSI
PA
01
—
25-1716306
MULTIPLAN/PHCS
PA
01
—
3830436
AETNA HMO
PA
01
—
50066685
CAPITAL BLUECROSS
PA
01
—
560617
HEALTH AMERICA
PA
01
—
7064055
AETNA NON-HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
G920-0054
CAREFIRST
PA
01
—
MD062010L
PA LICENSE
PA
01
—
P00411722
RAILROAD MEDICARE
PA
Enumeration date
10/02/2006
Last updated
03/11/2024
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