Provider Demographics
NPI:1467997551
Name:ROBBINS, EDGAR L (MD)
Entity Type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:L
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:E
Other - Middle Name:LEE
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4405 STARVIEW CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ARM
Mailing Address - State:MD
Mailing Address - Zip Code:21057
Mailing Address - Country:US
Mailing Address - Phone:410-592-2687
Mailing Address - Fax:
Practice Address - Street 1:4405 STARVIEW CT
Practice Address - Street 2:
Practice Address - City:GLEN ARM
Practice Address - State:MD
Practice Address - Zip Code:21057
Practice Address - Country:US
Practice Address - Phone:410-592-2687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0010699207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine