Healthcare Provider Details

I. General information

NPI: 1225031172
Provider Name (Legal Business Name): ROBERT B. SCHLESINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 02/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 ROOSEVELT BLVD STE 501
PHILADELPHIA PA
19114-1030
US

IV. Provider business mailing address

261 OLD YORK RD STE 724
JENKINTOWN PA
19046-3706
US

V. Phone/Fax

Practice location:
  • Phone: 215-673-5000
  • Fax: 215-673-0718
Mailing address:
  • Phone: 215-671-4280
  • Fax: 215-464-9034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD029547E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: