Individual
ROBIN CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
70 COHANSEY ST, BRIDGETON, NJ 08302-1918
(856) 451-4700
(856) 794-7183
Mailing address
7147 SPRAGUE ST, PHILADELPHIA, PA 19119-1243
(215) 247-6091
(856) 794-7183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA04270100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2486601
—
NJ
Enumeration date
06/29/2006
Last updated
07/08/2007
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