Provider Demographics
NPI:1285858860
Name:ROBERT EMMA M.D.P.C.
Entity Type:Organization
Organization Name:ROBERT EMMA M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:EMMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-337-0740
Mailing Address - Street 1:1015 33RD ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-3523
Mailing Address - Country:US
Mailing Address - Phone:202-337-0740
Mailing Address - Fax:202-337-0910
Practice Address - Street 1:1015 33RD ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-3523
Practice Address - Country:US
Practice Address - Phone:202-337-0740
Practice Address - Fax:202-337-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC7995261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC7995OtherMEDICAL LICENSE