National Provider Identifier

Douglas L Roberts, MD

Douglas L Roberts, MD is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Orchard Park, NY and a listed phone number of (716) 677-6800.

NPI 1811931066Orchard Park, NYCardiovascular Disease Physician

Profile Overview

NPI
1811931066
Provider Type
Individual
Primary Specialty
Cardiovascular Disease Physician
Enumeration Date
June 16, 2006
Last Updated
July 08, 2007

Practice Location

  • 310 Sterling Dr
  • Suite 100
  • Orchard Park, NY 14127-1569

Phone: (716) 677-6800

Mailing Address

  • 25 Fir Top Dr
  • Orchard Park, NY 14127-3516

Specialties

  • Cardiovascular Disease Physician (207RC0000X)
Full Record
NPI
1811931066
Entity Type
Individual
Last Name
Roberts
First Name
Douglas
Middle Name
L
Name Prefix
Dr.
Credential
MD
Mailing Street Address
25 Fir Top Dr
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-3516
Mailing Country
US
Mailing Phone
(716) 662-1266
Practice Street Address
310 Sterling Dr
Practice Address Line 2
Suite 100
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1569
Practice Country
US
Practice Phone
(716) 677-6800
Practice Fax
(716) 634-1930
Enumeration Date
June 16, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Cardiovascular Disease Physician (207RC0000X)
Other Identifiers
00614219 (NY), P00272412 (NY, Railroad Medicare)