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Physician Compare National (NPI:1013097732)

HEALTHCARE PROVIDER: ROBERT KAHN O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1013097732
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355476870
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100322000816
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KAHN
Individual professional last name
Provider First Name ROBERT
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Individual professional's medical school
Graduation Year 1983
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 23 -55 FAIR LAWN AVE
Group Practice or individual's line 1 address
City FAIR LAWN
Group Practice or individual's city
State NJ
Group Practice or individual's state
Zip Code 074103407
Group Practice or individual's zip code (9 digits when available)
Phone Number 2017962873
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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