Individual
MRS. LAURA MARIE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1324 BELMONT ST STE 105, BROCKTON, MA 02301-4435
(508) 427-6000
(508) 427-6010
Mailing address
1324 BELMONT ST STE 105, BROCKTON, MA 02301-4435
(508) 427-6000
(508) 583-7599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
217107
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026988
—
MA
01
—
30195
BMC HEALTHNET
—
01
—
3388884
AETNA
—
01
—
467518
TUFTS
—
01
—
59977
FALLON
—
01
—
6101419001
CIGNA
—
01
—
AA1021
HPHC
—
01
—
J26849
BLUE CROSS
—
Enumeration date
09/27/2005
Last updated
12/22/2021
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