Individual
ROBERT E. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 RIDGEWOOD ROAD, SUITE 400, WYOMISSING, PA 19610-6977
(610) 378-9601
(610) 378-3610
Mailing address
2201 RIDGEWOOD ROAD, SUITE 400, WYOMISSING, PA 19610-6977
(610) 378-9601
(610) 378-3610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
MD422537
PA
174400000X
Specialist
—
—
2084P0800X
Psychiatry Physician
Primary
MD422537
PA
282N00000X
General Acute Care Hospital
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
10/02/2006
Last updated
02/06/2020
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