Healthcare Provider Details

I. General information

NPI: 1992728042
Provider Name (Legal Business Name): ROBERT A. SYLVESTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 05/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 ACADEMY ST
PRESQUE ISLE ME
04769-3102
US

IV. Provider business mailing address

140 ACADEMY ST
PRESQUE ISLE ME
04769-3102
US

V. Phone/Fax

Practice location:
  • Phone: 207-768-4000
  • Fax:
Mailing address:
  • Phone: 207-768-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD7466
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: