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NPI Code Detail

MEDICARE: ROBERT JOHN VANARIA MD

MEDICARE: ROBERT JOHN VANARIA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1497694392
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT JOHN VANARIA MD
Provider Business Mailing Address
First Line : 425 JACK MARTIN BLVD
Second Line :
City : BRICK
State : NJ
Zip : 08724-7732
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 425 JACK MARTIN BLVD
Second Line :
City : BRICK
State : NJ
Zip : 08724-7732
Country : US
Telephone Number : 732-840-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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