Healthcare Provider Details

I. General information

NPI: 1396992996
Provider Name (Legal Business Name): ROBERT F STRELL MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 08/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 WILLOW AVE
HOBOKEN NJ
07030-3807
US

IV. Provider business mailing address

317 WILLOW AVE
HOBOKEN NJ
07030-3807
US

V. Phone/Fax

Practice location:
  • Phone: 201-222-0082
  • Fax:
Mailing address:
  • Phone: 201-222-0082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberMA68123
License Number StateNJ

VIII. Authorized Official

Name: DR. ROBERT F STRELL
Title or Position: PRESIDENT
Credential: MD
Phone: 201-222-0082