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Individual

EDWIN G ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 GLENSIDE DR, SUITE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Mailing address
1800 GLENSIDE DR, SUITE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038581
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010354366
VA
01
C09933
MEDICARE GROUP NUMBER
VA
01
P00648490
RR MEDICARE
VA
Enumeration date
06/15/2005
Last updated
11/04/2014
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