Individual
CHAD RANDOLPH ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(212) 241-6500
Mailing address
6138 COMPTON ST APT A3, INDIANAPOLIS, IN 46220-2066
(832) 527-0040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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