Provider Demographics
NPI:1275625469
Name:RICHARD G. ROBINSON, M.D & MARK J. CLINTON, M.D., P.C.
Entity Type:Organization
Organization Name:RICHARD G. ROBINSON, M.D & MARK J. CLINTON, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-878-0924
Mailing Address - Street 1:2296 OPITZ BLVD.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3345
Mailing Address - Country:US
Mailing Address - Phone:703-878-0924
Mailing Address - Fax:703-878-1037
Practice Address - Street 1:2296 OPITZ BLVD.
Practice Address - Street 2:SUITE 230
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3345
Practice Address - Country:US
Practice Address - Phone:703-878-0924
Practice Address - Fax:703-878-1037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RP1001X
VA207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6047419Medicaid
CL6683Medicare UPIN