Provider Demographics
NPI:1598730723
Name:SIMPSON, ROBIN J (DO)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:J
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BIDDLE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3969
Mailing Address - Country:US
Mailing Address - Phone:302-838-4750
Mailing Address - Fax:
Practice Address - Street 1:300 BIDDLE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3969
Practice Address - Country:US
Practice Address - Phone:302-838-4750
Practice Address - Fax:302-838-4755
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC20007384207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE017542C90Medicare PIN
DEH90263Medicare UPIN