Provider Demographics
NPI:1689895260
Name:ROBBINS, DONNA HELENE (PA)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:HELENE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:340 MAIN ST STE 670
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1665
Mailing Address - Country:US
Mailing Address - Phone:508-764-3566
Mailing Address - Fax:781-762-0671
Practice Address - Street 1:910 WASHINGTON ST STE 200
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-6022
Practice Address - Country:US
Practice Address - Phone:781-762-0471
Practice Address - Fax:781-762-8072
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1750363AS0400X
MAPA1750363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0005054Medicare PIN