Provider Demographics
NPI:1851363162
Name:NUSKIND, ROBIN LAUREL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LAUREL
Last Name:NUSKIND
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 1:900 CATON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:900 CATON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5201
Practice Address - Country:US
Practice Address - Phone:410-368-2149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00419702085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC2849OtherB/C B/S
MDJ062OtherB/C B/S
MD754701300Medicaid
MDKA80OtherB/C B/S
MD435L77PPMedicare ID - Type UnspecifiedLOCALITY/JURIS. CODE 02
MDCN2566Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MDA61051Medicare UPIN
MD434L76PPMedicare ID - Type UnspecifiedLOCALITY/JURIS. CODE 01
MDJ062OtherB/C B/S
MDCD4495Medicare ID - Type UnspecifiedRAILROAD MEDICARE