Provider Demographics
NPI:1225167299
Name:FIELDS, ROBIN MAXWELL (RPH)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:MAXWELL
Last Name:FIELDS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ROBIN HOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8517
Mailing Address - Country:US
Mailing Address - Phone:609-654-5223
Mailing Address - Fax:
Practice Address - Street 1:4 ROBIN HOOD DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8517
Practice Address - Country:US
Practice Address - Phone:609-654-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01716100183500000X
PARP030978L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist