Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 25MA04309000 | NJ |
Y | 207RA0201X | Internist - Allergy & Immunology | MA43090 | NJ |
NPI | 1477552024 |
---|---|
Provider Name | Dr. Robert E Coifman |
First Address | Millville, NJ 08332 |
Second Address | Millville, NJ 08332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2005 |
Last Update Date | 07/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3290603 | (05) | NJ |
3779301 | (05) | NJ |
E56972 | (02) | NJ |