Provider Demographics
NPI:1922356476
Name:ELIZABETH J. ROBINSON MD LLC
Entity Type:Organization
Organization Name:ELIZABETH J. ROBINSON MD LLC
Other - Org Name:ROBINSON PEDIATRICS AND ADOLESCENT MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-343-4504
Mailing Address - Street 1:386 PENN RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1810
Mailing Address - Country:US
Mailing Address - Phone:484-343-4504
Mailing Address - Fax:484-412-8485
Practice Address - Street 1:386 PENN RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1810
Practice Address - Country:US
Practice Address - Phone:484-343-4504
Practice Address - Fax:484-412-8485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty