Individual
DR. PAUL H ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD.
Contact information
Practice address
1348 W ERIE AVE, PHILADELPHIA, PA 19140-4254
(215) 223-5000
(215) 223-9180
Mailing address
1348 W ERIE AVE, PHILADELPHIA, PA 19140-4254
(215) 223-5000
(215) 223-9180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0EG001404
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100965778
—
PA
Enumeration date
12/12/2006
Last updated
10/15/2013
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