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Individual

ROBERT JOHNSON ALLEN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
57 W 57TH ST STE 1603, NEW YORK, NY 10019-2828
(888) 890-3437
(843) 727-3774
Mailing address
4429 CLARA ST STE 330, NEW ORLEANS, LA 70115-6957
(888) 890-3437
(843) 727-3774

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
013956
LA
208200000X
Plastic Surgery Physician
12264
SC
208200000X
Plastic Surgery Physician
Primary
150082-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1330281
LA
Enumeration date
07/24/2006
Last updated
03/24/2024
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