Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MA04972400 | NJ |
Y | 207VE0102X | Reproductive Endocrinologist | MA04972400 | NJ |
NPI | 1154579795 |
---|---|
Provider Name | Linda Robins |
First Address | Upper Montclair, NJ 07043-1596 |
Second Address | Upper Montclair, NJ 07043-1596 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 08/09/2008 |