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Individual

DR. ROBERT ANDREW BATTISTA

Active
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Individual

DR. ROBERT ANDREW BATTISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
036085232
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036085232
IL
01
040017598
RR MEDICARE
IL
01
400280
GROUP MEDICARE PTAN
IL
01
403270
GROUP MEDICARE PTAN
IL
Enumeration date
11/15/2005
Last updated
11/05/2020
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