Individual
DR. ROBERT U MMEREOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6101 KENNEDY BLVD E, STE 1, WEST NEW YORK, NJ 07093-3902
(412) 607-5450
(201) 448-2804
Mailing address
6101 KENNEDY BLVD E, STE 1, WEST NEW YORK, NJ 07093-3902
(412) 607-5450
(901) 383-2245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
257207
NY
207Q00000X
Family Medicine Physician
Primary
25M09692300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2009
Last updated
05/05/2017
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