Individual
ROBERT PRINCIPATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 CHAPEL AVE W, RADIOLOGY DEPARTMENT, CHERRY HILL, NJ 08002-2048
(856) 661-5473
(856) 661-5470
Mailing address
1001 BRIGGS RD, SUITE 210, MOUNT LAUREL, NJ 08054-4100
(856) 231-4774
(856) 231-9699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OS006396E
PA
2085R0202X
Diagnostic Radiology Physician
25MB05487400
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MB05487400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1783106
—
NJ
Enumeration date
07/24/2006
Last updated
09/11/2025
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