Provider Demographics
NPI:1457538894
Name:ROBINSON, CECILE MARIE (PAC MPH)
Entity type:Individual
Prefix:MRS
First Name:CECILE
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PAC MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4954 N PALMER RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5630
Mailing Address - Country:US
Mailing Address - Phone:301-319-2900
Mailing Address - Fax:301-319-2901
Practice Address - Street 1:4954 N PALMER RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5630
Practice Address - Country:US
Practice Address - Phone:301-319-2900
Practice Address - Fax:301-319-2901
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA30117363A00000X
MDC0001661363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant