Healthcare Provider Details

I. General information

NPI: 1235758947
Provider Name (Legal Business Name): ROBERT JOSEPH ANDERSON M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

V. Phone/Fax

Practice location:
  • Phone: 570-214-9585
  • Fax: 570-214-9519
Mailing address:
  • Phone: 570-214-9585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS022932
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: