Individual
DR. ROBERT T NEVITT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(732) 741-0970
Mailing address
200 SCHULZ DR STE 2, RED BANK, NJ 07701-6745
(732) 426-3420
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35698
OK
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA11776800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0913871
—
NJ
05
—
1134532880
—
PA
Enumeration date
06/10/2014
Last updated
04/18/2024
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