# SAMUEL T. ROBERTSON M. D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881122729
- **Authorized official:** DR. SAMUEL THOMAS ROBERTSON M. D. (PHYSICIAN)
- **Authorized official phone:** (513) 519-5864

## Contact information

- **Practice address:** 333 LAFAYETTE AVE, CINCINNATI, OH 45220-1122
- **Practice address phone:** (513) 519-5864
- **Mailing address:** 333 LAFAYETTE AVE, CINCINNATI, OH 45220-1122
- **Mailing address phone:** (513) 519-5864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 35047921 | OH | Yes |

## Other

- **Enumeration date:** 05/23/2017
- **Last updated:** 07/21/2022
