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Individual

CORVIN ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0044857
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00823
VALUE OPTIONS
MD
01
60054
AETNA
MD
01
D0044857
MEDICAL LICENSE
MD
05
MDMCD
MD
01
SB580
BLUE CROSS/BLUE SHIELD
MD
05
SKMDO
MD
01
SX173
BEACON HEALTH
MD
Enumeration date
12/01/2005
Last updated
03/07/2023
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