Provider Demographics
NPI:1740799907
Name:ROBINSON, ALISSA ALEXANDRA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALISSA
Middle Name:ALEXANDRA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 WASHINGTON ST STE 1600
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2430
Mailing Address - Country:US
Mailing Address - Phone:508-880-3460
Mailing Address - Fax:508-880-5335
Practice Address - Street 1:72 WASHINGTON ST STE 1600
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2430
Practice Address - Country:US
Practice Address - Phone:508-880-3460
Practice Address - Fax:508-880-5335
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA7894363A00000X
NY021354363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant