Individual
DR. ROBERT MAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
655 SHREWSBURY AVENUE, SHREWSBURY, NJ 07702
(732) 450-6000
(732) 450-1798
Mailing address
PO BOX 188, LITTLE SILVER, NJ 07739
(732) 264-1127
(732) 264-0670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB05275100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5011400
—
NJ
Enumeration date
10/25/2006
Last updated
07/08/2007
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