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Individual
DR. THOMAS S ROBERTS
Active
Individual
DR. THOMAS S ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0466
BLUE SHIELD
NY
01
—
110158681
RAILROAD MEDICARE
NY
05
—
1444866
—
NY
01
—
4345415
AETNA
NY
01
—
IM/160856
WORKERS COMP
NY
01
—
MDB812
PREFERRED CARE
NY
01
—
P010160856
BLUE CHOICE
NY
Enumeration date
03/03/2006
Last updated
10/25/2011
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