NPI Code Details Logo

NPI 1063878064

NPI 1063878064 : ROBERT BARWICK PA : REHOBOTH BEACH, DE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063878064
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ROBERT BARWICK PA
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/06/2016
-----------------------------------------------------
    Last Update Date     |    11/24/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    19161 HEALTHY WAY UNIT 100 
-----------------------------------------------------
    City                 |    REHOBOTH BEACH
-----------------------------------------------------
    State                |    DE
-----------------------------------------------------
    Zip                  |    19971-4491
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    302-645-3010
-----------------------------------------------------
    Fax                  |    302-645-3814
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1515 SAVANNAH RD 
-----------------------------------------------------
    City                 |    LEWES
-----------------------------------------------------
    State                |    DE
-----------------------------------------------------
    Zip                  |    19958-1675
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    302-645-3499
-----------------------------------------------------
    Fax                  |    302-644-4830
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    C5-0001184
-----------------------------------------------------
    License Number State |    DE
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363AM0700X
-----------------------------------------------------
    Taxonomy Name        |    Medical Physician Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.