Provider Demographics
NPI:1417942772
Name:HAROWITZ, ROBERT J (MD ANESTHESIOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:HAROWITZ
Suffix:
Gender:M
Credentials:MD ANESTHESIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 MULLICA ROAD
Mailing Address - Street 2:DEPT OF ANESTHESIA
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062
Mailing Address - Country:US
Mailing Address - Phone:856-508-1000
Mailing Address - Fax:
Practice Address - Street 1:700 MULLICA HILL RD
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-4413
Practice Address - Country:US
Practice Address - Phone:856-508-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05969200207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA05969200OtherMEDICAL LICENSE
NJ5571308Medicaid
NJD06305000OtherCDS
NJ5571308Medicaid
F62993Medicare UPIN
NJ25MA05969200OtherMEDICAL LICENSE