Individual
BRIAN WILLIAM ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2351
Mailing address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2351
(856) 968-8572
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA08889000
NJ
207P00000X
Emergency Medicine Physician
MT196382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA08889000
MEDICAL LICENSE
NJ
Enumeration date
03/30/2010
Last updated
11/24/2014
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