Healthcare Provider Details

I. General information

NPI: 1023284999
Provider Name (Legal Business Name): ROBIN L LOVE VMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 WOODBURY RD BETHEL MILL ANIMAL HOSP
SEWELL NJ
08080
US

IV. Provider business mailing address

585 WOODBURY RD
SEWELL NJ
08080
US

V. Phone/Fax

Practice location:
  • Phone: 856-589-7388
  • Fax: 856-218-2601
Mailing address:
  • Phone: 856-589-7388
  • Fax: 856-218-2601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number29V100300100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: