Individual
DR. CARL D ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 CAMPUS AVE STE 402, LEWISTON, ME 04240-6045
(207) 777-4455
(207) 777-4458
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD15578
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330250099
—
ME
01
—
CA0089
MEDICARE PTAN
ME
Enumeration date
07/10/2006
Last updated
09/08/2020
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