Provider Demographics
NPI:1720056328
Name:PINSKY, ROBERT L (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:PINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:50 UNION STREET
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605
Mailing Address - Country:US
Mailing Address - Phone:207-664-7780
Mailing Address - Fax:207-664-7721
Practice Address - Street 1:32 RESORT WAY
Practice Address - Street 2:ELLSWORTH INTERNAL MEDICINE
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605
Practice Address - Country:US
Practice Address - Phone:207-664-5480
Practice Address - Fax:207-664-5490
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME010715207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME001641OtherBLUECROSS
ME225080099Medicaid
ME225080099Medicaid
D91248Medicare UPIN