Provider Demographics
NPI:1033469713
Name:TROMBLEY, ROBERT C (RD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:C
Last Name:TROMBLEY
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEMENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-4518
Mailing Address - Country:US
Mailing Address - Phone:856-784-4201
Mailing Address - Fax:
Practice Address - Street 1:231 LAKE AVE
Practice Address - Street 2:
Practice Address - City:CLEMENTON
Practice Address - State:NJ
Practice Address - Zip Code:08021-4518
Practice Address - Country:US
Practice Address - Phone:856-784-4201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00942379133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered