Individual
DR. BRET T. SOBOTA
Active
Individual
DR. BRET T. SOBOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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