Organization
ROBERT A. GRAEBE, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GRAEBE (PRACTICE ADM)
(732) 460-1073
Entity
Organization
Contact information
Practice address
1131 BROAD ST, 104, SHREWSBURY, NJ 07702-4329
(732) 460-1073
(732) 460-1076
Mailing address
1131 BROAD ST, 104, SHREWSBURY, NJ 07702-4329
(732) 460-1073
(732) 460-1076
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
25MA03861600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024835
LICENSE
CT
01
—
139948-1
LICENSE
NY
05
—
C-421804
—
NJ
01
—
D03159700
CDS
NJ
01
—
MA3861600
LICENSE
NJ
Enumeration date
05/31/2007
Last updated
03/07/2023
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