Provider Demographics
NPI:1053544163
Name:ROBERTSHAW, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:ROBERTSHAW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2545 SCHOENERSVILLE RD
Mailing Address - Street 2:HOSPITALIST OFFICE 2ND FLOOR, KOLB CENTER
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7300
Mailing Address - Country:US
Mailing Address - Phone:484-884-9677
Mailing Address - Fax:484-884-9297
Practice Address - Street 1:2545 SCHOENERSVILLE RD
Practice Address - Street 2:HOSPITALIST OFFICE 2ND FLOOR, KOLB CENTER
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7300
Practice Address - Country:US
Practice Address - Phone:484-884-9677
Practice Address - Fax:484-884-9297
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054106363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical