Provider Demographics
NPI:1659315760
Name:KHOO, ROBERT ENG HONG (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ENG HONG
Last Name:KHOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:44 NAUTILUS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2466
Mailing Address - Country:US
Mailing Address - Phone:609-978-3390
Mailing Address - Fax:609-978-3190
Practice Address - Street 1:44 NAUTILUS DR STE 201
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2466
Practice Address - Country:US
Practice Address - Phone:609-978-3390
Practice Address - Fax:609-978-3190
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09573000208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F41789Medicare UPIN
F41789Medicare UPIN
810582130OtherTAX ID#