Provider Demographics
NPI:1033273982
Name:ROBINSON, JAMES GEORGE IV (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GEORGE
Last Name:ROBINSON
Suffix:IV
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 N CENTRE ST
Mailing Address - Street 2:APT B
Mailing Address - City:MERCHANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-2519
Mailing Address - Country:US
Mailing Address - Phone:609-217-8013
Mailing Address - Fax:856-382-0666
Practice Address - Street 1:1585 ROUTE 73
Practice Address - Street 2:SUITE B
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08110-1330
Practice Address - Country:US
Practice Address - Phone:856-382-0677
Practice Address - Fax:856-382-0666
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00645700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJV08585Medicare UPIN