Individual
DR. ROBERT L. HARVEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20251 CENTURY BLVD, STE 130, GERMANTOWN, MD 20874-1162
(301) 944-0033
(240) 485-0917
Mailing address
480 N PIFER RD, STAR TANNERY, VA 22654-1921
(540) 465-1965
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102201169
VA
207P00000X
Emergency Medicine Physician
Primary
H0069397
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010064007
—
VA
01
—
147025
ANTHEM
VA
01
—
1922068154
NPI
VA
05
—
418573100
—
MD
01
—
540490687003
TRICARE
VA
Enumeration date
03/23/2006
Last updated
02/28/2021
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