Individual
DR. ROBIN R INNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 STUYVESANT AVE, 2ND FLOOR, UNION, NJ 07083-6936
(908) 964-6600
(908) 364-1025
Mailing address
900 STUYVESANT AVE, 2ND FLOOR, UNION, NJ 07083-6936
(908) 964-6600
(908) 364-1025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MB42873
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043114
GHI
NJ
05
—
1439103
—
NJ
01
—
222279894
CIGNA
NJ
01
—
4257897
AETNA
NJ
01
—
HS218
OXFORD
NJ
Enumeration date
07/15/2005
Last updated
08/06/2012
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