Robert James Profumo, MD

Pediatrics Physician · Chesterfield, MO

Individual Active NPI

NPI number 1073603189

Practice location

1308 Westchester Manor Ln
Chesterfield, MO 63005-4355
Phone
(314) 432-9270
Fax
(314) 432-9271

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NPI record

NPI
1073603189
Entity type
Individual (Type 1)
Enumeration date
October 13, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X R5N74 MO

About Dr. Profumo

Robert James Profumo, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1308 Westchester Manor Ln, Chesterfield, MO 63005-4355. The NPI number 1073603189 was assigned on October 13, 2006 and the record was last updated on July 8, 2007.

Dr. Profumo lists a license in the registry: #R5N74 (MO) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert James Profumo, MD?

The NPI number is 1073603189.

What is the phone number of Dr. Profumo?

The phone number listed for the practice location is (314) 432-9270.

Where is Dr. Profumo located?

1308 Westchester Manor Ln, Chesterfield, MO 63005-4355.

What is the taxonomy code for Dr. Profumo?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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