1629196233 NPI number — MARGARET A. ROBINSON

Table of content: (NPI 1629196233)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629196233 NPI number — MARGARET A. ROBINSON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARGARET A. ROBINSON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MARGARET A ROBINSON DO
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629196233
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 CENTENNIAL DR
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
PEABODY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01960-7935
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-977-0787
Provider Business Mailing Address Fax Number:
978-977-0905

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 CENTENNIAL DR
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
PEABODY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01960-7935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-977-0787
Provider Business Practice Location Address Fax Number:
978-977-0905
Provider Enumeration Date:
03/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ROBINSON
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
D. O.
Authorized Official Telephone Number:
978-977-0787

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  56390 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 622450 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 80603 . This is a "HARVARD PILGRIM HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M17818 . This is a "BLUE CROSS GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 056390 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 2300216 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3009556 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0024987 . This is a "NEIGHBORHOOD HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 2594366 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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