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NPI Code Detail

MEDICARE: MS. LINDA M. ROBB PA-C

MEDICARE: MS. LINDA M. ROBB PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantC0000539MD

General Provider Information

NPI Number : 1376643312
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA M. ROBB PA-C
Provider Business Mailing Address
First Line : 761 TICONDEROGA AVE
Second Line :
City : SEVERNA PARK
State : MD
Zip : 21146-3905
Country : US
Telephone Number : 410-315-7934
Fax Number :
Provider Business Practice Location Address
First Line : 2772 RUTLAND RD
Second Line :
City : DAVIDSONVILLE
State : MD
Zip : 21035-1228
Country : US
Telephone Number : 443-332-4380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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