Individual
INGRAM M ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE MEDICAL CENTER BLVD, SUITE 231, UPLAND, PA 19013
(610) 619-7475
(610) 619-7477
Mailing address
ONE MEDICAL CENTER BLVD, SUITE 231, UPLAND, PA 19013
(610) 619-7475
(610) 619-7477
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD026652E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001345116
—
CT
Enumeration date
08/11/2006
Last updated
11/02/2012
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