Doctor Name: | AUGUST WILLIAM ROBERTSON |
NPI Number: | 1770510844 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CST |
License Number: | |
Business Practice Address: | 11110 Medical Campus Rd Suite 205 Hagerstown, MD - 217426700 |
Business Phone Number: | 3016654950 |
Business Fax Number: | 3016654956 |
Mailing Address: | 11110 Medical Campus Rd, Suite 205 HAGERSTOWN |
State: | MD |
Postal Code: | 217426700 |
Phone Number: | 3016654950 |
Fax Number: | 3016654956 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |