Provider Demographics
NPI:1396992996
Name:ROBERT F STRELL MD LLC
Entity type:Organization
Organization Name:ROBERT F STRELL MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:STRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-222-0082
Mailing Address - Street 1:317 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3807
Mailing Address - Country:US
Mailing Address - Phone:201-222-0082
Mailing Address - Fax:
Practice Address - Street 1:317 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-3807
Practice Address - Country:US
Practice Address - Phone:201-222-0082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA68123213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports MedicineGroup - Single Specialty