Basic Information
| Provider Information | |||||||||
| NPI: | 1558371708 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DELLINGER | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | KARL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1623 MORGANTOWN ROAD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107966364 | ||||||||
| FaxNumber: | 6107966470 | ||||||||
| Practice Location | |||||||||
| Address1: | 1623 MORGANTOWN ROAD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107966364 | ||||||||
| FaxNumber: | 6107966470 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD034941E | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 02742200 | 01 | SR BLUE PPO GROUP | OTHER | 1857201 | 01 | SR BLUE PPO PRACTICE | OTHER | 1857201 | 01 | CAPITAL BLUE CROSS PRACTI | OTHER | 0010295400004 | 05 | PA | MEDICAID | 0020551000 | 01 | INDEPENDENCE BLUE CROSS | OTHER | 02742200 | 01 | CAPITAL BLUE CROSS GROUP | OTHER | 167249 | 01 | THREE RIVERS | OTHER | DE476134 | 01 | HIGHMARK BLUE SHIELD | OTHER | C34530 | 01 | HEALTH AMERICA HEALTH | OTHER |