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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548265754 NPPES
New Jersey MEDICAID 0438006
New Jersey Other 442489CHK

Popular Providers