Individual
JACQUELINE MARIE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(667) 234-6000
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(248) 508-1581
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
D0100112
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52-0591657
—
MD
Enumeration date
07/02/2018
Last updated
07/12/2024
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