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Robert Greenblum, MD
Specialist in Fair Lawn, New Jersey
NPI 1073575551

Robert Greenblum is a Specialist based in Fair Lawn, NJ. Robert Greenblum practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Robert Greenblum is 1073575551 and holds a License No. MA051650 (New Jersey).

The current practice location address for Robert Greenblum is 15-01 Broadway, Fair Lawn, NJ and can be reached out via phone at 201-794-6008 and via fax at 201-794-6190.

Location: 15-01 Broadway, Fair Lawn, NJ, 07410-6003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073575551
Provider Name
Robert Greenblum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15-01 Broadway, Fair Lawn, NJ, 07410-6003
Phone Number
201-794-6008
Fax Number
201-794-6190
Provider Enumeration Date
04/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0857505 05 NJ
institution
Provider Business Practice Location Address Details
Address
15-01 Broadway
City
Fair Lawn
State
New Jersey
Zip
07410-6003
Phone Number
201-794-6008
Fax Number
201-794-6190
person
Provider Business Mailing Address Details
Address
15-01 Broadway
City
Fair Lawn
State
New Jersey
Zip
07410-6003
Phone Number
201-794-6008
Fax Number
201-794-6190
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA051650 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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