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Individual

ROBERT KOCH ILOWITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
505 OMNI DR, THE DERMATOLOGY CENTER, HILLSBOROUGH, NJ 08844-4528
(908) 359-6685
(908) 359-0649
Mailing address
505 OMNI DR, THE DERMATOLOGY CENTER, HILLSBOROUGH, NJ 08844-4528
(908) 359-6685
(908) 359-0649

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB06116900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070014217
RAILROAD MEDICARE
NJ
01
0809116000
AMERIHEALTH GROUP NUMBER
NJ
01
1003887704
NPI
NJ
01
1427926
UNITED HEALTHCARE
NJ
01
223539248
TAX ID
NJ
01
2K9800
HEALTHNET
NJ
01
4843856004
CIGNA HEALTHCARE PAL
NJ
01
578537
AETNA HEALTH, INC.
NJ
01
P1003739
OXFORD
NJ
Enumeration date
01/30/2006
Last updated
10/10/2011
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