Roberts, David

Roberts, David is an individual health care provider with primary practice located at 37 Pontiac Dr , Medford NJ 08055-8146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Roberts, David can be contacted via phone (610) 592-8235.

Contact Information

Primary practice address
37 Pontiac Dr Medford NJ 08055-8146
Phone: (610) 592-8235
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07640500 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME165574 Florida

Profile Details

NPI number 1154320273
LBN Legal business name Roberts, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated May 10th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154320273 NPPES
New Jersey MEDICAID 8062200
New Jersey Other A3738029
New Jersey Other 11180686
New Jersey Other P00200867
New Jersey Other RO1653259
New Jersey Other 1124410
New Jersey Other 1653259
New Jersey Other 2329848000
New Jersey Other 60011009

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