Individual
ROBERT WATSON FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
1025 WALNUT ST, SUITE 801, PHILADELPHIA, PA 19107-5001
(215) 955-8768
(215) 955-3890
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD466990
PA
2085R0204X
Vascular & Interventional Radiology Physician
MT204522
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/08/2013
Last updated
12/23/2019
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