Provider Demographics
NPI:1659327211
Name:LEVIN, ROBIN MERLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:MERLE
Last Name:LEVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 GAITHER DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1701
Mailing Address - Country:US
Mailing Address - Phone:856-810-9888
Mailing Address - Fax:856-810-9889
Practice Address - Street 1:101 GAITHER DR
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1701
Practice Address - Country:US
Practice Address - Phone:215-588-3400
Practice Address - Fax:856-810-9889
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06657000207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ038695TFJMedicare ID - Type Unspecified
NJH18214Medicare UPIN