Provider Demographics
NPI:1487672515
Name:ROBBINS, MARK EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:EUGENE
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1337 MASSACHUSETTS AVE # 244
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4101
Mailing Address - Country:US
Mailing Address - Phone:339-707-5121
Mailing Address - Fax:781-240-0359
Practice Address - Street 1:365 EAST ST
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1950
Practice Address - Country:US
Practice Address - Phone:978-858-3776
Practice Address - Fax:978-858-3494
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2018-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA461842084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3004341Medicaid
MAB76844Medicare UPIN
MA3004341Medicaid