Individual
ROBERT M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34TH STREET & CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104
(215) 590-1858
(215) 977-8351
Mailing address
100 N 20TH STREET, SUITE 200, PHILADELPHIA, PA 19103
(215) 977-8100
(215) 977-8351
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD071035L
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD071035L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017983400
—
PA
Enumeration date
08/15/2006
Last updated
09/11/2025
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