Provider Demographics
NPI:1740497783
Name:ROBINSON, JOHN W (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 STANFORD ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5209
Mailing Address - Country:US
Mailing Address - Phone:301-652-3579
Mailing Address - Fax:301-652-0599
Practice Address - Street 1:4303 STANFORD ST
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5209
Practice Address - Country:US
Practice Address - Phone:301-652-3579
Practice Address - Fax:301-652-0599
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00414952084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine