Roberts, Andrew B

Roberts, Andrew B is an individual health care provider with primary practice located at 3401 N Broad St 4Th Fl Parkinson Pavilion, Philadelphia PA 19140-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Roberts, Andrew B can be contacted via phone (215) 707-3133.

Contact Information

Primary practice address
3401 N Broad St 4Th Fl Parkinson Pavilion Philadelphia PA 19140-5103
Phone: (215) 707-3133
Fax: (215) 707-3945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD231815E Pennsylvania

Profile Details

NPI number 1487642351
LBN Legal business name Roberts, Andrew B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Sep 27th, 2017 - about 9 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 1487642351 NPPES
Pennsylvania MEDICAID 0009702380005

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