Individual
COURTNEY L ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6412
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 933-5460
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
D55069
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026484900
—
MD
05
—
307603200
—
MD
Enumeration date
06/28/2006
Last updated
02/01/2010
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