Individual
ROBERT G MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104-5127
(215) 615-1594
Mailing address
3400 CIVIC CENTER BLVD, 10 SOUTH, PHILADELPHIA, PA 19104-5127
(215) 615-1594
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD469013
PA
207RX0202X
Medical Oncology Physician
213568
NY
208000000X
Pediatrics Physician
213568
NY
Other
Enumeration date
01/30/2006
Last updated
02/02/2021
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