Individual
THOM R ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 CORAOPOLIS HEIGHTS RD, STE E, MOON TWP, PA 15108-4316
(412) 262-2415
(412) 262-1537
Mailing address
11279 PERRY HWY, STE 450, WEXFORD, PA 15090-9303
(724) 933-1100
(724) 933-1160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD014639E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007224360003
—
PA
Enumeration date
05/26/2005
Last updated
03/24/2010
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