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General NPI Number Information
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NPI Number | 1467613307
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Entity Type | Organization
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Legal Business Name | ROBERT A. SAMMARTINO, D.O., P.A.
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 445 HURFFVILLE CROSSKEYS RD SUITE B-8
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City | SEWELL
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State | NJ
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Zip | 08080-2337
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Country | US
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Telephone | 856-589-7740
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Fax | 856-256-0291
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Provider Business Mailing Address
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Address Line | 445 HURFFVILLE CROSSKEYS RD SUITE B-8
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City | SEWELL
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State | NJ
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Zip | 08080-2337
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Country | US
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Telephone | 856-589-7740
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Fax | 856-256-0291
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT A SAMMARTINO
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Credential | DO
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Telephone | 856-589-7740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MB05689100
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License Number State | NJ
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