Individual
DR. ROBERT DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
545 RUGH ST, GREENSBURG, PA 15601-5636
(724) 836-5500
(724) 836-8471
Mailing address
545 RUGH ST, GREENSBURG, PA 15601-5636
(724) 836-5500
(724) 836-8471
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD015344E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005960090001
—
PA
Enumeration date
08/16/2006
Last updated
07/08/2007
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