Robertson, Edgar W

Robertson, Edgar W is an individual health care provider with primary practice located at 6 Essex Center Dr Suite 307, Peabody MA 01960-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Robertson, Edgar W can be contacted via phone (978) 532-8010.

Contact Information

Primary practice address
6 Essex Center Dr Suite 307 Peabody MA 01960-2910
Phone: (978) 532-8010
Fax: (978) 532-5147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 37083 Massachusetts

Profile Details

NPI number 1003885203
LBN Legal business name Robertson, Edgar W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 13th, 2008 - about 16 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 1003885203 NPPES
Massachusetts MEDICAID 2022893

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