Roberts, Thom R

Roberts, Thom R is an individual health care provider with primary practice located at 1600 Coraopolis Heights Rd Ste E, Moon Twp PA 15108-4316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roberts, Thom R can be contacted via phone (412) 262-2415.

Contact Information

Primary practice address
1600 Coraopolis Heights Rd Ste E Moon Twp PA 15108-4316
Phone: (412) 262-2415
Fax: (412) 262-1537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD014639E Pennsylvania

Profile Details

NPI number 1053314781
LBN Legal business name Roberts, Thom R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Mar 24th, 2010 - about 14 years 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 1053314781 NPPES
Pennsylvania MEDICAID 0007224360003

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