Individual
ROBERT T PU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3221
(757) 388-3799
Mailing address
PO BOX 20452, PSMG-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
0101243228
VA
207ZP0101X
Anatomic Pathology Physician
Primary
0101243228
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841372828
—
VA
05
—
5909889
—
NC
Enumeration date
10/19/2006
Last updated
09/30/2014
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