Provider Demographics
NPI:1912985599
Name:ROBERTS, ERIN M (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:M
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:310 STOCK ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2276
Mailing Address - Country:US
Mailing Address - Phone:717-316-3555
Mailing Address - Fax:717-316-3556
Practice Address - Street 1:310 STOCK ST
Practice Address - Street 2:SUITE 4
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2276
Practice Address - Country:US
Practice Address - Phone:717-316-3555
Practice Address - Fax:717-316-3556
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD426183207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015095750001Medicaid
PA50056728OtherCAPITAL BLUECROSS
PA1855184OtherHIGHMARK BLUESHIELD
PA099945ZEA5Medicare PIN
I51193Medicare UPIN