Provider Demographics
NPI:1164540944
Name:ROBINSON, DIANE (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 W ELM ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-4108
Mailing Address - Country:US
Mailing Address - Phone:610-567-5265
Mailing Address - Fax:610-567-6955
Practice Address - Street 1:2701 HOLME AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2029
Practice Address - Country:US
Practice Address - Phone:215-333-4894
Practice Address - Fax:215-333-4896
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD446451207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3826784OtherOXFORD
1611167OtherAETNA
2871673000OtherAMERIHEALTH
60035202OtherHORIZON NJ HEALTH
8622815OtherCIGNA
NJ114608OtherLOCAL 825
2804091OtherUNITED
8622815OtherCIGNA