| Doctor Name: | DR. ROBERT A ROSTOCK |
| NPI Number: | 1841292943 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., FACRO |
| License Number: | |
| Business Practice Address: | 1115 Lantern Hill Rd Shavertown, PA - 187089591 |
| Business Phone Number: | 5706960105 |
| Business Fax Number: | 5706960105 |
| Mailing Address: | 1115 Lantern Hill Rd, SHAVERTOWN |
| State: | PA |
| Postal Code: | 187089591 |
| Phone Number: | 5706960105 |
| Fax Number: | 5706960105 |
| NPI Enumeration Date: | 06/02/2005 |
| NPI Last Update Date: | 08/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0203X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology, Radiation |
| Taxonomy Definition: | |