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Individual
DR. ROBIN R INNELLA
Active
Individual
DR. ROBIN R INNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MB42873
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043114
GHI
NJ
05
—
1439103
—
NJ
01
—
222279894
BLUE SHIELD OF NJ
NJ
01
—
4257897
AETNA
NJ
01
—
HS218
OXFORD
NJ
Enumeration date
07/15/2005
Last updated
08/06/2012
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