Provider Demographics
NPI:1588658082
Name:ROBINSON, ANDREW P (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:P
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9601 PULASKI PARK DR STE 416
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1409
Mailing Address - Country:US
Mailing Address - Phone:410-933-5678
Mailing Address - Fax:410-238-7451
Practice Address - Street 1:1021 GILPIN AVE STE 100
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3271
Practice Address - Country:US
Practice Address - Phone:410-933-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10005879207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
200039710OtherRAILROAD MEDICARE
510383254OtherBLUE SHIELD DE
F34393OtherMID ATLANTIC
510383254OtherTRICARE
279239OtherMAMSI
KG82OtherMARYLAND BLUE SHIELD
2291239OtherAETNA
G2420007OtherDELMARVA HEALTH PLAN
DE0000891801Medicaid
2291239OtherAETNA
004951D96Medicare ID - Type Unspecified