Provider Demographics
NPI:1487747283
Name:WILSON-SMITH, ROBIN R (DO)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:R
Last Name:WILSON-SMITH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:856-968-8366
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 300
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2186
Practice Address - Fax:856-968-8575
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMB076560207V00000X
NJMB07656000207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3607223OtherAETNA
NJP3385318OtherOXFORD
NJ2356258000OtherAMERIHEALTH/KEYSTONE/IBC
NJ3246566OtherCIGNA
NJ60021133OtherHORIZON NJ HEALTH
NJ0044121Medicaid
NJ1682678OtherAMERIHEALTH PPO/PA BS
NJ60021135OtherHORIZON NJ HEALTH
NJ3607227OtherAETNA
NJ2516142OtherUNITED HEALTHCARE
NJ010006467OtherAMERICHOICE
NJ3K5433OtherHEATHNET
NJ42301OtherUNIVERSITY HEALTH PLAN
NJ60021133OtherHORIZON NJ HEALTH
NJ3607223OtherAETNA