MEDICARE: ROBERT STEPHEN AUERBACH DO

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	207V00000X	Obstetrics & Gynecology Physician	OS002949L	PA
2	207VG0400X	Gynecology Physician	OS002949L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	597586	OTHER	PA	MEDICARE GROUP TPI
11	160039143	OTHER	PA	RAILROAD MEDICARE
13	CD4829	OTHER	PA	RAILROAD MEDICARE TPI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P691140	OTHER	PA	OXFORD
2	0005064	OTHER	PA	AETNA - HMO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0073489405	OTHER	PA	AMERICHOICE
5	6771	OTHER	PA	BRAVO HEALTH
7	3Y3689	OTHER	PA	HEALTH NET
8	1075764	OTHER	PA	KEYSTONE MERCY HEALTH PLA
9	863236	OTHER	PA	COVENTRY HEALTH AMERICA
10	0052801000	OTHER	PA	INDEPENDENCE BLUE CROSS
12	4353532	OTHER	PA	AETNA PPO
14	073839	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1861478034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT STEPHEN AUERBACH DO

Provider Business Mailing Address
First Line	:	PO BOX 820933
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-0933
Country	:	US
Telephone Number	:	215-745-8989
Fax Number	:	215-745-9072

Provider Business Practice Location Address
First Line	:	7602 CENTRAL AVE
Second Line	:	SUITE 201
City	:	PHILA
State	:	PA
Zip	:	19111-2443
Country	:	US
Telephone Number	:	215-745-8989
Fax Number	:	215-745-9072

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	11/08/2013

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