Individual
DR. ROBERT JENQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
C195813
CA
207RH0003X
Hematology & Oncology Physician
230939
NY
207RX0202X
Medical Oncology Physician
R0732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367529001
—
TX
Enumeration date
04/26/2007
Last updated
09/13/2024
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