Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 22DI01550900 | NJ |
Y | 213EG0000X | General Practice | 22DI01550900 | NJ |
NPI | 1003037656 |
---|---|
Provider Name | Dr. Robert Kabinoff |
First Address | Mount Laurel, NJ 08054 |
Second Address | Cinnaminson, NJ 08077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |