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Organization

JOHN W ROBERTSON III MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN ROBERTSON (OWNER)
(267) 763-1024
Entity
Organization

Contact information

Practice address
8080 OLD YORK RD, SUITE 212, ELKINS PARK, PA 19027-1421
(267) 763-1024
(267) 763-1050
Mailing address
8080 OLD YORK RD, SUITE 212, ELKINS PARK, PA 19027-1421
(267) 763-1024
(267) 763-1050

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD044947E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0013045930007
PA
Enumeration date
06/21/2007
Last updated
11/09/2007
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