Provider Demographics
NPI:1750379426
Name:WERTZ, ROBERT E (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:WERTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 CETRONIA RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9168
Mailing Address - Country:US
Mailing Address - Phone:610-973-6200
Mailing Address - Fax:610-973-6545
Practice Address - Street 1:250 CETRONIA RD
Practice Address - Street 2:SUITE 303
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9168
Practice Address - Country:US
Practice Address - Phone:610-973-6200
Practice Address - Fax:610-973-6545
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055459L207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA124478 POtherTHREE RIVERS
PA858851OtherHIGHMARK
PA07858851OtherGATEWAY
PA0965171000OtherINDEP. BLUE CROSS
PA1236402OtherCAPITAL BLUE CROSS
PA0015758090Medicaid
PR847617OtherAETNA
PA20008175OtherAMERIHEALTH MERCY
PA30000049OtherKEYSTONE MERCY
PA2681953-002OtherCIGNA
PAP2624801OtherOXFORD
PA20008175OtherAMERIHEALTH MERCY
PA858851OtherHIGHMARK
PA2681953-002OtherCIGNA