Provider Demographics
NPI:1841502937
Name:LAURENTE, ROBERT M (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:LAURENTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3393
Mailing Address - Street 2:
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-0393
Mailing Address - Country:US
Mailing Address - Phone:609-587-0119
Mailing Address - Fax:609-587-3009
Practice Address - Street 1:1601 WHITEHORSE MERCERVILLE RD STE 4
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3836
Practice Address - Country:US
Practice Address - Phone:609-587-0119
Practice Address - Fax:609-587-3009
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09333500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine