Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101015084 | VA |
NPI | 1073583142 |
---|---|
Provider Name | Richard B. Robins |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23606-4250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 22/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00325677 | RAILROAD (01) | VA |