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Individual

BRIAN K ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 615-4949
Mailing address
3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 615-4949

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA051149
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00065900
NJ

Other

Enumeration date
10/13/2006
Last updated
04/08/2026
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