Provider Demographics
NPI:1992776819
Name:BACHMAN, ROBERT R (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:BACHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:120 CARNIE BLVD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4520
Mailing Address - Country:US
Mailing Address - Phone:856-424-8866
Mailing Address - Fax:856-227-1090
Practice Address - Street 1:120 CARNIE BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4520
Practice Address - Country:US
Practice Address - Phone:856-424-8866
Practice Address - Fax:856-424-2665
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA02079400207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA55826Medicare ID - Type Unspecified
D19426Medicare UPIN