MEDICARE: DR. ROBERT J HARTSOCK M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MDO26168L	PA

General Provider Information

NPI Number	:	1952742132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J HARTSOCK M.D.

Provider Business Mailing Address
First Line	:	127 WILMAR DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-1607
Country	:	US
Telephone Number	:	412-963-9075
Fax Number	:	412-963-9075

Provider Business Practice Location Address
First Line	:	127 WILMAR DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-1607
Country	:	US
Telephone Number	:	412-963-9075
Fax Number	:	412-963-9075

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

Provider Enumeration Date	:	07/16/2013
Last Update Date	:	01/28/2014

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