Individual
DR. ROBERT A ROSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACRO
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7075
(570) 808-6174
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD028683E
PA
2085R0001X
Radiation Oncology Physician
Primary
MD028683E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000981616
—
PA
Enumeration date
06/02/2005
Last updated
08/25/2020
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