Provider Demographics
NPI:1821164328
Name:GOTTHOFFER, ROBYN JOY (DC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:JOY
Last Name:GOTTHOFFER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WASHINGTON BLVD STE 6A
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-3162
Mailing Address - Country:US
Mailing Address - Phone:609-301-7530
Mailing Address - Fax:609-301-7531
Practice Address - Street 1:1 WASHINGTON BLVD STE 6A
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-3162
Practice Address - Country:US
Practice Address - Phone:609-301-7530
Practice Address - Fax:609-301-7531
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00588200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor