Individual
CHARLENE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
426 E FREEMASON ST, NORFOLK, VA 23510
(757) 623-6072
(757) 623-9748
Mailing address
426 E FREEMASON ST, NORFOLK, VA 23510
(757) 623-6072
(757) 623-9748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054447
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005886678
—
VA
Enumeration date
03/09/2006
Last updated
02/14/2011
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