Organization
FREDERICK PSYCHIATRIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORVIN V. ROBINSON (MD)
(301) 606-7785
Entity
Organization
Contact information
Practice address
13218 BROOKLANE DR, HAGERSTOWN, MD 21742-1435
(240) 527-2082
(240) 310-1927
Mailing address
PO BOX 1945, HAGERSTOWN, MD 21742-1945
(301) 606-7785
(240) 310-1927
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0044857
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00823
VALUE OPTIONS
MD
01
—
60054
AETNA
MD
05
—
MDMCD
—
MD
01
—
SB580
BC/BS
MD
05
—
SKMDO
—
MD
01
—
SX173
BEACON HEALTH
MD
Enumeration date
05/06/2009
Last updated
12/19/2016
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