Individual
CHARLES R ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 OAK AVE, WORCESTER, MA 01605-2751
(508) 755-2136
Mailing address
25 OAK AVE, WORCESTER, MA 01605-2751
(508) 755-2136
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29902
MA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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