Individual
DR. DOUGLAS L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 STERLING DR, SUITE 100, ORCHARD PARK, NY 14127-1569
(716) 677-6800
(716) 634-1930
Mailing address
25 FIR TOP DR, ORCHARD PARK, NY 14127-3516
(716) 662-1266
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
106412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00614219
—
NY
01
—
P00272412
RAILROAD MEDICARE
NY
Enumeration date
06/16/2006
Last updated
07/08/2007
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