Greenblum, Robert
Greenblum, Robert is an individual health care provider with primary practice located at 15-01 Broadway Ste 20, Fair Lawn NJ 07410-6003. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Greenblum, Robert can be contacted via phone (201) 794-6008.Contact Information
Primary practice address
15-01 Broadway Ste 20
Fair Lawn NJ 07410-6003
Phone: (201) 794-6008
Fax: (201) 794-6190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA051650 | New Jersey |
Profile Details
| NPI number | 1073575551 |
|---|---|
| LBN Legal business name | Greenblum, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Aug 7th, 2008 - about 18 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 | 1073575551 | NPPES |
| New Jersey | MEDICAID | 0857505 |
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