Provider Demographics
NPI:1851331433
Name:ROBBINS, MARTIN L (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:L
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 US ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7649
Mailing Address - Country:US
Mailing Address - Phone:207-883-3883
Mailing Address - Fax:207-883-5788
Practice Address - Street 1:308 US ROUTE 1
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9774
Practice Address - Country:US
Practice Address - Phone:207-883-3883
Practice Address - Fax:207-883-5788
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME98116207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME061287OtherANTHEM
ME1912005281OtherGROUP NPI #
ME321580000Medicaid
ME1851331433OtherINDIVIDUAL NPI #
MED63876Medicare UPIN
ME321580000Medicaid