Individual
ROBERT EMANUEL NORDBERG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
118288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001018200
BLUE CROSS BLUE SHIELD
—
05
—
01013010
—
NY
01
—
1182880
WORKERS COMP
NY
Enumeration date
07/12/2006
Last updated
03/31/2021
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