Individual
ROGER JOHN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3480 EAGLE DR, CHAMBERSBURG, PA 17202-7419
(717) 404-3048
Mailing address
3480 EAGLE DR, CHAMBERSBURG, PA 17202-7419
(717) 404-3048
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD043727E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011657940001
—
PA
01
—
01133901
CAPITAL BLUE CROSS
PA
01
—
1007307260034
MEDICAID GROUP #
PA
01
—
120420411
DEPT OF LABOR
PA
01
—
123378
MEDPLUS
PA
01
—
1593334
FIRST HEALTH
PA
01
—
178152
HIGHMARK BLUE SHIELD
PA
01
—
2117055
ALLIANCE PPO
PA
01
—
25-1716306
HEALTHNET/TRICARE
PA
01
—
4349580
AENTA NON-HMO
PA
01
—
842364
AETNA HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
MD043727E
LICENSE
PA
01
—
P00183613
RAILROAD MEDICARE
PA
Enumeration date
06/16/2005
Last updated
06/21/2023
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