Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 038020 | CT |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 038020 | CT |
NPI | 1134222615 |
---|---|
Provider Name | Dr. Malcolm Clive Robinson |
First Address | Bridgeport, CT 06606-5369 |
Second Address | Bridgeport, CT 06606-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 04/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001380203 | (05) | CT |
010038020CT01 | ANTHEM BC/BS OF CT (01) | |
06-1605784 | HEALTHCARE VALUE MNGMT (01) | |
0V8239 | HEALTH NET (01) | |
2463663 | US HEALTHCARE (01) | |
5718716 | AETNA (01) | |
6644692-002 | CIGNA HEALTHPLAN PPO (01) | |
6644692-004 | CIGNA HEALTHPLAN HMO/POS (01) | |
B95284 | (02) | |
P0107001 | MEDSPAN GROUP ID (01) | |
P2218963 | OXFORD HEALTH PLAN (01) |