Basic Information
Provider Information
NPI: 1154479863
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARCHI
FirstName: ROBERT
MiddleName: L.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 615 CHESTNUT ST
Address2: 14TH FLOOR
City: PHILADELPHIA
State: PA
PostalCode: 191064404
CountryCode: US
TelephoneNumber: 2159559457
FaxNumber: 2159552420
Practice Location
Address1: 900 WALNUT ST
Address2: 2ND FLOOR
City: PHILADELPHIA
State: PA
PostalCode: 191075509
CountryCode: US
TelephoneNumber: 2159551234
FaxNumber: 2159233504
Other Information
ProviderEnumerationDate: 01/08/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XMD015081EPAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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