Organization
JAMES R. ROBUSTO
Active
Other names
Urbanna Family Practice,PLC
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY A ROBUSTO (OFFICE MANAGER)
(804) 758-2110
Entity
Organization
Contact information
Practice address
5399 OLD VIRGINIA ST., URBANNA, VA 23175-0880
(804) 758-2110
(804) 758-0256
Mailing address
PO BOX 880, URBANNA, VA 23175-0880
(804) 758-2110
(804) 758-0256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101037187
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080009697
MEDICARE RAILROAD
VA
05
—
5670411
—
VA
01
—
C06252
MEDICARE PTAN
VA
Enumeration date
11/14/2007
Last updated
01/30/2012
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