Healthcare Provider Details

I. General information

NPI: 1568934719
Provider Name (Legal Business Name): RENEE CHRISTINE ROBUS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2018
Last Update Date: 12/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 FRANKLIN CORNER RD STE 110
LAWRENCEVILLE NJ
08648-2586
US

IV. Provider business mailing address

136 FRANKLIN CORNER RD STE 110
LAWRENCEVILLE NJ
08648-2586
US

V. Phone/Fax

Practice location:
  • Phone: 609-912-0440
  • Fax:
Mailing address:
  • Phone: 609-912-0440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00758500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: