Provider Demographics
NPI:1720189715
Name:ROBINSON, RICHARD A (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:147 MILK ST
Mailing Address - Street 2:PROVIDER ENROLLMENT DEPARTMENT - 9TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:617-421-2508
Mailing Address - Fax:
Practice Address - Street 1:133 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-5950
Practice Address - Fax:617-421-6008
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2011-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA37875207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4294612-001OtherCIGNA
MA4294612-001OtherHEALTHSOURCE
MAM09330OtherBLUE CROSS BLUE SHIELD
MA0014918OtherNEIGHBORHOOD HEALTH PLAN
MA3016447Medicaid
MAPM254OtherHARVARD PILGRIM
MA729825OtherTUFTS HEALTH PLAN
MA0014918OtherNEIGHBORHOOD HEALTH PLAN
MA4294612-001OtherHEALTHSOURCE