MEDICARE: DR. ROBIN MARY HURST D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS012180	PA

General Provider Information

NPI Number	:	1831323070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN MARY HURST D.O.

Provider Business Mailing Address
First Line	:	33 S DELAWARE AVE
Second Line	:	SUITE 103
City	:	YARDLEY
State	:	PA
Zip	:	19067-1524
Country	:	US
Telephone Number	:	215-321-3600
Fax Number	:	215-321-3657

Provider Business Practice Location Address
First Line	:	33 S DELAWARE AVE
Second Line	:	SUITE 103
City	:	YARDLEY
State	:	PA
Zip	:	19067-1524
Country	:	US
Telephone Number	:	215-321-3600
Fax Number	:	215-321-3657

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2009
Last Update Date	:	03/07/2013

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