Healthcare Provider Details

I. General information

NPI: 1700952181
Provider Name (Legal Business Name): ROBERT E. HOULE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6TH AVENUE & SPRUCE STREET
WEST READING PA
19611
US

IV. Provider business mailing address

50 COMMERCE DR
WYOMISSING PA
19610-3335
US

V. Phone/Fax

Practice location:
  • Phone: 610-568-3637
  • Fax:
Mailing address:
  • Phone: 610-372-8044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD022687
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: