Doctor Name: | ROBERT D GOBER |
NPI Number: | 1891000642 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | H0026622 |
Business Practice Address: | 1120 Saint Paul St Ground Level Baltimore, MD - 212022618 |
Business Phone Number: | 4109080946 |
Business Fax Number: | 4103329988 |
Mailing Address: | 1120 Saint Paul St, Ground Level BALTIMORE |
State: | MD |
Postal Code: | 212022618 |
Phone Number: | 4109080946 |
Fax Number: | 4103329988 |
NPI Enumeration Date: | 08/17/2010 |
NPI Last Update Date: | 08/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H0026622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |