Robert Despain, MD | |
1 Federal St Ste Sw200, Camden, NJ 08103-1155 | |
(848) 288-6935 | |
Not Available |
Full Name | Robert Despain |
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Gender | Male |
Speciality | Surgery - Trauma Surgery |
Location | 1 Federal St Ste Sw200, Camden, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275928608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | D0099930 (Maryland) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 25MA11786100 (New Jersey) | Primary |
Entity Name | Cooper University Trauma Physicians, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790724730 PECOS PAC ID: 3678569951 Enrollment ID: O20040422000430 |
Mailing Address | Practice Location Address |
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Robert Despain, MD 1 Federal St Ste Sw200, Camden, NJ 08103-1155 Ph: (848) 288-6935 | Robert Despain, MD 1 Federal St Ste Sw200, Camden, NJ 08103-1155 Ph: (848) 288-6935 |
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