Basic Information
| Provider Information | |||||||||
| NPI: | 1831273317 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROMISHER | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | J. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FEDERAL ST | ||||||||
| Address2: | STE SW200 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031155 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422425 | ||||||||
| FaxNumber: | 8569688326 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 COOPER PLZ | ||||||||
| Address2: | COOPER ANESTHESIA ASSOCIATES | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422425 | ||||||||
| FaxNumber: | 8569688239 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2006 | ||||||||
| LastUpdateDate: | 04/25/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MB59203 | NJ | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 000742016 | 01 | NJ | AMERIHEALTH PPO/ PA BS | OTHER | 60001731 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 010005239 | 01 | NJ | AMERICHOICE | OTHER | 1827097 | 01 | NJ | UNITED HEALTHCARE | OTHER | 0650759000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER | P3722601 | 01 | NJ | OXFORD | OTHER | 1161930 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 29783 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | 5492602 | 05 | NJ | MEDICAID | 742016 | 01 | NJ | PA BS HIGHMARK | OTHER |