Provider Demographics
NPI:1952342743
Name:ROBERT J MARO MD PA
Entity Type:Organization
Organization Name:ROBERT J MARO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:856-429-2224
Mailing Address - Street 1:27 COVERED BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2945
Mailing Address - Country:US
Mailing Address - Phone:856-429-2224
Mailing Address - Fax:856-429-1926
Practice Address - Street 1:27 COVERED BRIDGE RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2945
Practice Address - Country:US
Practice Address - Phone:856-429-2224
Practice Address - Fax:856-429-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2603403Medicaid
NJ0516947002OtherAMERIHEALTH
NJ606300Medicare ID - Type Unspecified