Individual
DR. DAVID ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37 PONTIAC DR, MEDFORD, NJ 08055-8146
(610) 592-8235
Mailing address
6001 WEBB RD, TAMPA, FL 33615-3241
(813) 888-7060
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07640500
NJ
2085R0202X
Diagnostic Radiology Physician
ME165574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11180686
CAQH
—
01
—
1124410
AETNA
—
01
—
1653259
HIGHMARK PA BLUE SHIELD
—
01
—
2329848000
AMERIHEALTH
—
01
—
60011009
HORIZON NJ HEALTH
—
05
—
8062200
—
NJ
01
—
A3738029
OXFORD HEALTH
—
01
—
P00200867
RAILROAD MEDICARE
—
01
—
RO1653259
PREMIER BLUE
—
Enumeration date
07/20/2005
Last updated
05/10/2024
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