Healthcare Provider Details

I. General information

NPI: 1558320150
Provider Name (Legal Business Name): HOPE ROBIN SCHLOSSBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S VAN BRUNT ST STE 405
ENGLEWOOD NJ
07631-4604
US

IV. Provider business mailing address

401 S VAN BRUNT ST STE 405
ENGLEWOOD NJ
07631-4604
US

V. Phone/Fax

Practice location:
  • Phone: 201-871-4346
  • Fax: 201-871-5953
Mailing address:
  • Phone: 201-871-4346
  • Fax: 201-871-5953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA61344
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: