Individual
ROBIN CARLENA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 SPEEDWAY AVE, NEWARK, NJ 07106-2217
(609) 222-3407
(609) 482-4514
Mailing address
P.O. BOX 3791, NEWARK, NJ 07103-0791
(609) 222-3407
(609) 482-4514
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
02/03/2022
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