Provider Demographics
NPI:1043374432
Name:ROBINSON, CLARICE ANITA (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARICE
Middle Name:ANITA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:101 E OLNEY AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2421
Mailing Address - Country:US
Mailing Address - Phone:215-456-7000
Mailing Address - Fax:215-254-2599
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:PALEY 1ST FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-6595
Practice Address - Fax:215-456-3436
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2009-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD019295E2080A0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine