Clemons, Robin

Clemons, Robin is an individual health care provider with primary practice located at 70 Cohansey St , Bridgeton NJ 08302-1918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clemons, Robin can be contacted via phone (856) 451-4700.

Contact Information

Primary practice address
70 Cohansey St Bridgeton NJ 08302-1918
Fax: (856) 794-7183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA04270100 New Jersey

Profile Details

NPI number 1710915780
LBN Legal business name Clemons, Robin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710915780 NPPES
New Jersey MEDICAID 2486601

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