Individual
MONIQUE LORRAINE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD465813
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD465813
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2014
Last updated
05/25/2021
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