| Doctor Name: | JOHN ROBERTSON |
| NPI Number: | 1447401492 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MT188676 |
| Business Practice Address: | 141 S Black Horse Pike Suite 1 Blackwood, NJ - 080122975 |
| Business Phone Number: | 8562326471 |
| Business Fax Number: | 8562327028 |
| Mailing Address: | 1 Federal Street, Suite Sw200 CAMDEN |
| State: | NJ |
| Postal Code: | 081031155 |
| Phone Number: | 8563564935 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2008 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | MT188676 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |