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Individual

DR. JOY GRASETA ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M D

Contact information

Practice address
EAST ORANGE GENERAL HOSPITAL 33 EVERGREEN PLACE, 2ND FLOOR CAPS PROGRAM, EAST ORANGE, NJ 07018-2166
(973) 414-6740
(973) 414-6730
Mailing address
39 ELLIOT STREET, PASSAIC, NJ 07055-5415
(973) 779-8466

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MA57808
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5328209
NJ
Enumeration date
11/29/2006
Last updated
07/08/2007
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