Individual
CHARLES A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
242 BRUNSWICK ST, OLD TOWN, ME 04468-1613
(207) 827-6128
(207) 827-6605
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 827-6128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1376
ME
Other
Enumeration date
01/10/2007
Last updated
05/05/2021
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