Provider Demographics
NPI:1518130343
Name:ROBINSON, GENEVIEVE MARIE
Entity Type:Individual
Prefix:DR
First Name:GENEVIEVE
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06855-1112
Mailing Address - Country:US
Mailing Address - Phone:203-838-6141
Mailing Address - Fax:203-838-6175
Practice Address - Street 1:190 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06855-1112
Practice Address - Country:US
Practice Address - Phone:203-838-6141
Practice Address - Fax:203-838-6175
Is Sole Proprietor?:No
Enumeration Date:2008-04-13
Last Update Date:2008-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0010542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist