Provider Demographics
NPI:1306042130
Name:GRIFE, ROBERT MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MICHAEL
Last Name:GRIFE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:23 N DELSEA DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08312-1637
Mailing Address - Country:US
Mailing Address - Phone:856-423-7000
Mailing Address - Fax:856-423-0823
Practice Address - Street 1:401 COUNTRY CLUB CT
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3310
Practice Address - Country:US
Practice Address - Phone:609-350-6680
Practice Address - Fax:609-823-9505
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2024-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08257100207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist