Individual
DR. EDWARD JAMES ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 CEDAR RD # 350, VISTA, CA 92083-5102
(760) 806-5660
(760) 631-3435
Mailing address
2201 MISSION AVE, OCEANSIDE, CA 92054-2328
(760) 806-5660
(760) 631-3435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G87107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G871070
—
CA
Enumeration date
07/27/2006
Last updated
06/17/2009
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