Robertson, Laura Marie

Robertson, Laura Marie is an individual health care provider with primary practice located at 1324 Belmont St Ste 105 , Brockton MA 02301-4435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Robertson, Laura Marie can be contacted via phone (508) 427-6000.

Contact Information

Primary practice address
1324 Belmont St Ste 105 Brockton MA 02301-4435
Fax: (508) 427-6010
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 217107 Massachusetts

Profile Details

NPI number 1932196664
LBN Legal business name Robertson, Laura Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Dec 22nd, 2021 - about 5 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 1932196664 NPPES
Other 6101419001 CIGNA
Other 59977 CIGNA
Other 467518 CIGNA
Other AA1021 CIGNA
MEDICAID 2026988 CIGNA
Other 30195 CIGNA
Other 3388884 CIGNA
Other J26849 CIGNA

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