Provider Demographics
NPI:1194031344
Name:ROBINSON, HAROLD JEROME (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:JEROME
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 OLD GULPH ROAD
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1442
Mailing Address - Country:US
Mailing Address - Phone:610-667-7233
Mailing Address - Fax:
Practice Address - Street 1:409 OLD GULPH ROAD
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-1442
Practice Address - Country:US
Practice Address - Phone:610-667-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026346L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease