Individual
ROBIN K AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-8470
(410) 614-8748
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
35065151A
OH
207RI0200X
Infectious Disease Physician
Primary
D74450
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0931415
—
OH
01
—
110119116
MEDICARE RAILROAD
OH
Enumeration date
04/12/2006
Last updated
10/30/2024
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