Individual
BRADLEY W ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
C10007504
DE
2080P0202X
Pediatric Cardiology Physician
MD046853L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001414853
—
PA
05
—
0014148530021
—
PA
05
—
0014148530041
—
PA
01
—
1336119023
GROUP NPI NUMBER
PA
05
—
406396100
—
MD
05
—
6065805
—
NJ
01
—
MD046853L
MEDICAL LICENSE NUMBER
PA
Enumeration date
03/27/2006
Last updated
04/25/2016
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