Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 2007-00787 | NC |
Y | 208000000X | Pediatrician | 191796 | NY |
N | 2080P0207X | Pediatric Hematology-Oncologist | 191796 | NY |
NPI | 1164508297 |
---|---|
Provider Name | Edwin B Robins |
First Address | Charlotte, NC 28263-3213 |
Second Address | Fayetteville, NC 28304-3234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 17/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01511820 | (05) | NY |
5906826 | (05) | NC |
F92724 | (02) | NY |
Q0078I | (05) | SC |