Doctor Name: | DR. ROBERT WORTH |
NPI Number: | 1588749303 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA07774000 |
Business Practice Address: | 718 Teaneck Rd Teaneck, NJ - 076664245 |
Business Phone Number: | 2013421205 |
Business Fax Number: | 2013421259 |
Mailing Address: | Po Box 637728, CINCINNATI |
State: | OH |
Postal Code: | 452637728 |
Phone Number: | 2018423955 |
Fax Number: | 2012051582 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 09/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA07774000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |