Healthcare Provider Details

I. General information

NPI: 1689665929
Provider Name (Legal Business Name): ROBERT E SINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 03/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 E JEFFERSON ST HIRSH HEALTH CENTER
ROCKVILLE MD
20852-4045
US

IV. Provider business mailing address

6121 MONTROSE RD
ROCKVILLE MD
20852-4803
US

V. Phone/Fax

Practice location:
  • Phone: 301-816-5004
  • Fax: 301-816-5024
Mailing address:
  • Phone: 301-770-8377
  • Fax: 301-816-7716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number44601
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number44601
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberD0080338
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0080338
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: