Individual
ROBERT GREENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15-01 BROADWAY, STE 20, FAIR LAWN, NJ 07410-6003
(201) 794-6008
(201) 794-6190
Mailing address
15-01 BROADWAY, STE 20, FAIR LAWN, NJ 07410-6003
(201) 794-6008
(201) 794-6190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA051650
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0857505
—
NJ
Enumeration date
04/03/2006
Last updated
08/07/2008
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