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Individual

JAMES ROBERT ROBUSTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD,MBA,FAAFP

Contact information

Practice address
5399 OLD VIRGINIA STREET, URBANNA, VA 23175-0880
(804) 758-2110
(804) 758-0256
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101037187
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5670411
VA
01
C06252
PTAN
VA
Enumeration date
11/15/2005
Last updated
12/31/2012
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