Provider Demographics
NPI:1285876953
Name:ROBERTS, WILLIAM JOSEPH JR (CSA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:ROBERTS
Suffix:JR
Gender:M
Credentials:CSA
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Mailing Address - Street 1:237 HANBURY RD E
Mailing Address - Street 2:SUITE 17 #242
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-6621
Mailing Address - Country:US
Mailing Address - Phone:757-630-0155
Mailing Address - Fax:
Practice Address - Street 1:237 HANBURY RD E
Practice Address - Street 2:SUITE 17 #242
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-6621
Practice Address - Country:US
Practice Address - Phone:757-630-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2012-03-30
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant