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NPI Code Detail

MEDICARE: MARIANNE ROBB CRNA

MEDICARE: MARIANNE ROBB CRNA
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
1367500000XCertified Registered Nurse Anesthetist26NR05950200NJ

General Provider Information

NPI Number : 1962405795
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE ROBB CRNA
Provider Business Mailing Address
First Line : PO BOX 48076
Second Line :
City : NEWARK
State : NJ
Zip : 07101-4876
Country : US
Telephone Number : 201-804-2800
Fax Number :
Provider Business Practice Location Address
First Line : 1 E NEW YORK AVE
Second Line :
City : SOMERS POINT
State : NJ
Zip : 08244-2340
Country : US
Telephone Number : 609-653-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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