Provider Demographics
NPI:1720124878
Name:DUNFEE, ROBIN A (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:A
Last Name:DUNFEE
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 1:1030 NEW HOLLAND AVE
Mailing Address - Street 2:BLDG 12A SUITE 200
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-5690
Mailing Address - Country:US
Mailing Address - Phone:717-544-5028
Mailing Address - Fax:717-544-4296
Practice Address - Street 1:2118 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2427
Practice Address - Country:US
Practice Address - Phone:717-544-0150
Practice Address - Fax:717-544-0151
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047524L207Q00000X
MDD0064891207Q00000X
DEC1-0008126207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1303980Medicaid
PA086616Medicare PIN
F46574Medicare UPIN