Provider Demographics
NPI:1437572716
Name:ROBINSON, BENJAMIN VAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:VAN
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 1:79 BLUE RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-2986
Mailing Address - Country:US
Mailing Address - Phone:302-354-3689
Mailing Address - Fax:302-456-1267
Practice Address - Street 1:500 E 4TH ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-4551
Practice Address - Country:US
Practice Address - Phone:610-490-4357
Practice Address - Fax:610-490-4353
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419260208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice