Organization
CHESTERFIELD UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JOHN ROBERTO M.D. (OWNER)
(804) 381-7448
Entity
Organization
Contact information
Practice address
16901 BLAKEWAY PL, MOSELEY, VA 23120-1369
(804) 381-7448
Mailing address
16901 BLAKEWAY PL, MOSELEY, VA 23120-1369
(804) 381-7448
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101057462
VA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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