Individual
ROBERT E. PURCELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 CHOATE CIR, MONTOURSVILLE, PA 17754-9791
(570) 368-5566
(570) 368-5564
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD035616E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010424900002
—
PA
01
—
CG0139
RAILRAOD MEDICARE
PA
Enumeration date
06/16/2005
Last updated
08/26/2020
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