Provider Demographics
NPI:1477669497
Name:ROBINSON & MAX DERMATOLOGY P.A.
Entity Type:Organization
Organization Name:ROBINSON & MAX DERMATOLOGY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-561-1960
Mailing Address - Street 1:101 W RIDGELY RD
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5101
Mailing Address - Country:US
Mailing Address - Phone:410-561-1960
Mailing Address - Fax:410-560-3497
Practice Address - Street 1:101 W RIDGELY RD
Practice Address - Street 2:SUITE 4B
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-5101
Practice Address - Country:US
Practice Address - Phone:410-561-1960
Practice Address - Fax:410-560-3497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026939207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCI7619OtherRAILROAD MEDICARE
MDKE39ROOtherBLUE CROSS BLUE SHIELD MD
DCR270OtherBLUESHIELD DC
MD571LMedicare ID - Type Unspecified
MDCI7619OtherRAILROAD MEDICARE
MD74537Medicare UPIN