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NPI Code Detail

MEDICARE: JANET A ROBERTSON MD PA

MEDICARE: JANET A ROBERTSON MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA04897400NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11871649582OTHERNJNPI (TYPE I ENTITY)

General Provider Information

NPI Number : 1437369717
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANET A ROBERTSON MD PA
Provider Business Mailing Address
First Line : 169 MINE BROOK RD
Second Line :
City : BERNARDSVILLE
State : NJ
Zip : 07924-2125
Country : US
Telephone Number : 908-766-6110
Fax Number : 908-766-0569
Provider Business Practice Location Address
First Line : 169 MINE BROOK RD
Second Line :
City : BERNARDSVILLE
State : NJ
Zip : 07924-2109
Country : US
Telephone Number : 908-766-6110
Fax Number : 908-766-0569
Authorized Official
Title or Position : PRESIDENT
Name : DR. JANET A ROBERTSON
Credential : M.D.
Telephone Number : 908-766-6110
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/16/2010

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Directions to “JANET A ROBERTSON MD PA ” Practice Location

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