Provider Demographics
NPI:1548398175
Name:NJ BARIATRICS PC
Entity Type:Organization
Organization Name:NJ BARIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-785-5870
Mailing Address - Street 1:666 PLAINSBORO RD
Mailing Address - Street 2:SUITE 640
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3030
Mailing Address - Country:US
Mailing Address - Phone:609-785-5870
Mailing Address - Fax:609-785-5867
Practice Address - Street 1:666 PLAINSBORO RD
Practice Address - Street 2:SUITE 640
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3030
Practice Address - Country:US
Practice Address - Phone:609-785-5870
Practice Address - Fax:609-785-5867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ000174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherTAX ID NUMBER
NJ=========OtherTAX ID NUMBER