Healthcare Provider Details

I. General information

NPI: 1629068440
Provider Name (Legal Business Name): ROBIN BETH ALLEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN BETH SHEPARD M.D.

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 FARMINGTON AVE
FARMINGTON CT
06030-8082
US

IV. Provider business mailing address

PO BOX 745254
ATLANTA GA
30374-5254
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-4477
  • Fax: 860-679-1025
Mailing address:
  • Phone: 312-733-9730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25226
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number62030
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: