Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT JOSEPH DEFATTA, MD, PH D, FACS
ActiveOtolaryngology · ALTOONA, WI
Registration Details
- NPI Number
- 1578697520
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2007 (19.114086109095 yrs)
- Last Updated
- Dec 20, 2021
- Licenses
-
243412 (NY)243412 (NY)55984 (WI)243412 (NY)55984 (WI)
Practice Information
- Address
-
1490 RIVERS EDGE TRAILALTOONA, WI, 547201495Browse WI providers · Browse ZIP 54720
- Phone
- 7158282368
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Pediatric Otolaryngology
- Additional Specialty
- Pediatric Otolaryngology
- Additional Specialty
- 207YS0012X
- Additional Specialty
- 207YS0012X
Other Otolaryngology Providers in ALTOONA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. RIMA ABRAHAM DEFATTA | M.D. | 1790931707 |
| DR. JEREMY C ALDERFER | MD | 1689823932 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.