Individual
ROBERT CHARLES LILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
55 LEONARDVILLE RD, BELFORD, NJ 07718-1042
(732) 787-4747
(732) 495-9123
Mailing address
55 LEONARDVILLE RD, BELFORD, NJ 07718-1042
(732) 787-4747
(732) 495-9123
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01309
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4696204
—
NJ
Enumeration date
07/03/2006
Last updated
05/19/2009
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