Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4351 | NJ |
NPI | 1013097732 |
---|---|
Provider Name | Dr. Robert Kahn |
First Address | Fair Lawn, NJ 07410-3407 |
Second Address | Fair Lawn, NJ 07410-3407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 04/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0516598 | AETNA (01) | NJ |
1013097732 | (02) | NJ |
223199290 | HORIZON (01) | NJ |
4214237 | CIGNA (01) | NJ |
P1088215 | OXFORD (01) | NJ |