Provider Demographics
NPI:1033119755
Name:GEORGE, ROBERT B (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:2 KEEFER DR
Practice Address - Street 2:
Practice Address - City:MERCERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17236-1732
Practice Address - Country:US
Practice Address - Phone:717-328-2119
Practice Address - Fax:717-328-0071
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023514E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA120420401OtherDEPT OF LABOR
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA647192-01OtherCAREFIRST MD
PA122751OtherUNISON
PA25-1716306OtherINTERGROUP
PAMD023514EOtherLICENSE
PA0006605850005Medicaid
PA080080371OtherRAILROAD MEDICARE
PA1007307260034OtherMEDICAID GROUP #
PA1336352OtherFIRST HEALTH
PA25-1716306OtherINFORMED
PA25-1716306OtherMULTIPLAN/PHCS
PA427996OtherHEALTH AMERICA
PAP005041OtherGATEWAY
PAU804-0002OtherCAREFIRST DC
PA25-1716306OtherDEVON
PA4278205OtherAETNA NON-HMO
PA237314OtherMAMSI
PA867633OtherMEDICARE GROUP #
PAGE160950OtherHIGHMARK BLUESHIELD
PA25-1716306OtherHEALTHNET/TRICARE
PA50001114OtherCAPITAL BLUECROSS
PA942120OtherAETNA HMO
PA942120OtherAETNA HMO
PA120420401OtherDEPT OF LABOR
PAC32301Medicare UPIN