Provider Demographics
NPI:1427010107
Name:ROBIN, ALAN L (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:L
Last Name:ROBIN
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 1:13 IVEY TRACE CT
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1713
Mailing Address - Country:US
Mailing Address - Phone:410-377-2422
Mailing Address - Fax:
Practice Address - Street 1:6115 FALLS RD
Practice Address - Street 2:SUITE 333
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-2219
Practice Address - Country:US
Practice Address - Phone:410-377-2422
Practice Address - Fax:410-377-7960
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0018208207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001050569220001Medicaid
PA669568OtherBC BS HIGHMARK PENNSYLVANIA
MD977811000Medicaid
MD180040589OtherMEDICARE RAILROAD CARRIER
MD977811000Medicaid
MD7115Medicare PIN
PA669568OtherBC BS HIGHMARK PENNSYLVANIA
MD180040589OtherMEDICARE RAILROAD CARRIER
PA669568SRZMedicare PIN