Doctor Name: | ROBERT CODJOE NII |
NPI Number: | 1124254107 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P. A |
License Number: | 25MP00070000 |
Business Practice Address: | 200 Route 46 Parsippany, NJ - 070542313 |
Business Phone Number: | 9738820444 |
Business Fax Number: | |
Mailing Address: | 34 Mill Brook Rd, PISCATAWAY |
State: | NJ |
Postal Code: | 088542311 |
Phone Number: | 7322711926 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2009 |
NPI Last Update Date: | 06/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 25MP00070000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |