Provider Demographics
NPI:1396737052
Name:ROBINSON, JOHN FRALEY (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRALEY
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3142 ST. ANDREW DR.
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202
Mailing Address - Country:US
Mailing Address - Phone:717-207-2148
Mailing Address - Fax:717-217-6939
Practice Address - Street 1:25 PENNCRAFT AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201
Practice Address - Country:US
Practice Address - Phone:717-387-6015
Practice Address - Fax:717-217-6939
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD067993L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01747672Medicaid
PA01747672Medicaid
PA024558Medicare PIN