Active NPIIndividual providerSole proprietor

Dr. Robert A Super, DC

Chiropractor in Haddon Township, New Jersey

NPI Number1720080708
Practice location
2 Lees Ln, Haddon Township, NJ 08107-1091
Fax
856-858-2317
Last updated
September 12, 2013

Robert Andrew Super is a Chiropractor based in Haddon Township, NJ. Robert Andrew Super practices in Haddon Township, NJ and has the professional credentials of DC. The NPI Number for Robert Andrew Super is 1720080708 and holds a License No. 38MC00375100 (NJ). The current practice location address for Robert Andrew Super is 2 Lees Ln, Haddon Township, NJ 08107-1091 and can be reached out via phone at 856-858-5511 and via fax at 856-858-2317.

Provider Profile Details

NPI Number
1720080708
Provider Name
Robert Andrew Super
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2 Lees Ln, Haddon Township, NJ 08107-1091
Phone Number
856-858-5511
Fax Number
856-858-2317
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 10, 2005
Last Update Date
September 12, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Lees Ln
Haddon Township, NJ 08107-1091
Zip
08107-1091
Phone Number
856-858-5511
Fax Number
856-858-2317
Haddon Township, NJ 08107Get directions →

Provider Business Mailing Address Details

Address
2 Lees Ln
Haddon Township, NJ 08107-1091
City
Haddon Township
State
NJ
Zip
08107-1091
Phone Number
856-858-5511
Fax Number
856-858-2317

License Information

License Number
38MC00375100
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Robert A Super, DC?

The NPI number of Dr. Robert A Super, DC is 1720080708. It was assigned on August 10, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Robert A Super, DC?

Dr. Robert A Super, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00375100.

Where does Dr. Robert A Super, DC practice?

The practice location is 2 Lees Ln, Haddon Township, NJ 08107-1091. The office can be reached at 856-858-5511 (phone) or 856-858-2317 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720080708 directly on the NPPES registry website.

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