Provider Demographics
NPI:1275899965
Name:ROBINSON, DANIELA (DO)
Entity type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CLASSICAL LN
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7336
Mailing Address - Country:US
Mailing Address - Phone:207-831-5558
Mailing Address - Fax:
Practice Address - Street 1:CMR 411
Practice Address - Street 2:UNIT 28307
Practice Address - City:APO
Practice Address - State:NY
Practice Address - Zip Code:09128
Practice Address - Country:US
Practice Address - Phone:314-590-1869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-06
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA277147207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine