Basic Information
| Provider Information | |||||||||
| NPI: | 1417992637 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CIMINO | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 STONE HARBOR BLVD | ||||||||
| Address2: | |||||||||
| City: | CAPE MAY COURT HOUSE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082102138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094632339 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2 STONE HARBOR BOULEVARD | ||||||||
| Address2: | BURDETTE TOMLIN MEMORIAL HOSPITAL EMERGENCY DEPARTMENT | ||||||||
| City: | CAPE MAY COURT HOUSE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094632339 | ||||||||
| FaxNumber: | 6094632946 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2006 | ||||||||
| LastUpdateDate: | 03/30/2010 | ||||||||
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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 | 207P00000X | 25MA0784100 | NJ | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0077585 | 05 | NJ | MEDICAID |