Individual
PAUL JOHN ROBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6055 HARBOUR PARK DRIVE, MIDLOTHIAN, VA 23112-2160
(804) 639-7777
(804) 823-2720
Mailing address
6055 HARBOUR PARK DRIVE, MIDLOTHIAN, VA 23112-2160
(804) 639-7777
(804) 823-2720
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101057462
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7502206
—
VA
Enumeration date
06/08/2005
Last updated
10/07/2016
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