Individual
DR. ROBERT J HANLON I
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
713 KEARNY AVE, KEARNY, NJ 07032-3005
(201) 991-2828
Mailing address
665 BELGROVE DR, KEARNY, NJ 07032-1647
(201) 998-8029
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MA051579
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449800
—
NJ
Enumeration date
05/08/2006
Last updated
07/08/2007
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