Blank, Robert Roy
Blank, Robert Roy is an individual health care provider with primary practice located at 222 Schanck Rd Ste 302, Freehold NJ 07728-3068. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blank, Robert Roy can be contacted via phone (732) 577-1999.Contact Information
Primary practice address
222 Schanck Rd Ste 302
Freehold NJ 07728-3068
Phone: (732) 577-1999
Fax: (732) 845-5356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA04837500 | New Jersey |
Profile Details
| NPI number | 1548265754 |
|---|---|
| LBN Legal business name | Blank, Robert Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jul 6th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548265754 | NPPES |
| New Jersey | MEDICAID | 0438006 | |
| New Jersey | Other | 442489CHK |
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