Healthcare Provider Details

I. General information

NPI: 1245237957
Provider Name (Legal Business Name): ROBERT FRANK WERKMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 FISHBURN RD
HERSHEY PA
17033-9795
US

IV. Provider business mailing address

1421 FISHBURN RD
HERSHEY PA
17033-9795
US

V. Phone/Fax

Practice location:
  • Phone: 717-533-2224
  • Fax: 717-533-2164
Mailing address:
  • Phone: 717-533-2224
  • Fax: 717-533-2164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD 070313L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: