Individual
TOM BUI ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10 FOREST AVE STE 100, PARAMUS, NJ 07652
(210) 996-1505
Mailing address
273 16TH ST APT 1211, JERSEY CITY, NJ 07310-1069
(913) 522-3128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
04/25/2019
Last updated
03/17/2025
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