Healthcare Provider Details

I. General information

NPI: 1275642852
Provider Name (Legal Business Name): ROBERT WILLIAM SINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 04/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEREKH HAHORESH 23
JERUSALEM ISRAEL
97278
IL

IV. Provider business mailing address

DEREKH HAHORESH 23
JERUSALEM ISRAEL
97278
IL

V. Phone/Fax

Practice location:
  • Phone: 97225865201
  • Fax:
Mailing address:
  • Phone: 97225865201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number41024
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: