Provider Demographics
NPI:1023251287
Name:ALLEN, ROBERT JOHNSON JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHNSON
Last Name:ALLEN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1275 YORK AVE # MRI1007
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:212-639-6131
Mailing Address - Fax:212-717-3677
Practice Address - Street 1:1275 YORK AVE # MRI1007
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-6131
Practice Address - Fax:212-717-3677
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
NY266478208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery