Most Relevant Information
Provider Data
| NPI Number: | 1003234196 |
| Provider Name: | MONIQUE LORRAINE ROBERTS |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | MD465813 |
Most Important Dates
| Enumeration Date: | 04/04/2014 |
| Last Updated: | 05/25/2021 |
Provider Practice Location
3400 SPRUCE ST
PHILADELPHIA
PA
191044238
Practice Location Phone/Fax
| Phone: | 2156624000 |
| Fax: |
Provider Mailing Location
3401 N BROAD ST
PHILADELPHIA
PA
191405103
Provider Mailing Phone/Fax
| Phone: | 2157073326 |
| Fax: | 2157078028 |