Organization
BARRY ROBERTSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ROBERTSON MD (PRESIDENT)
(513) 423-6654
Entity
Organization
Contact information
Practice address
136 N BREIEL BLVD, MIDDLETOWN, OH 45042-3806
(513) 423-6654
(513) 423-7567
Mailing address
PO BOX 42508, MIDDLETOWN, OH 45042-0508
(513) 423-6654
(513) 423-7567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35040096
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365028
—
OH
Enumeration date
12/18/2006
Last updated
01/14/2008
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