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Individual

MELVILLE PARKER ROBERTS

Active
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Individual

MELVILLE PARKER ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
015187
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043376482
FEDERAL TAX ID
ME
05
154600000
ME
05
287310099
ME
Enumeration date
11/02/2006
Last updated
05/23/2008
Update your record

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