Basic Information
| Provider Information | |||||||||
| NPI: | 1508183849 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBERT H JOHR, MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1050 NW 15TH ST | ||||||||
| Address2: | SUITE 201A | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334861375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5613684545 | ||||||||
| FaxNumber: | 5613684041 | ||||||||
| Practice Location | |||||||||
| Address1: | 1050 NW 15TH ST | ||||||||
| Address2: | SUITE 201A | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334861375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5613684545 | ||||||||
| FaxNumber: | 5613684041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2010 | ||||||||
| LastUpdateDate: | 04/27/2010 | ||||||||
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| AuthorizedOfficialLastName: | JOHR | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | H | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL SPECIALIST | ||||||||
| AuthorizedOfficialTelephone: | 5613684545 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD, PA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ND0900X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology |
No ID Information.