Healthcare Provider Details

I. General information

NPI: 1356909618
Provider Name (Legal Business Name): ROBIN ROQUET MD, MPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN CHIN MD, MPP

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

IV. Provider business mailing address

3401 CIVIC CENTER BOULEVARD 9NW, ROOM 55
PHILADELPHIA PA
19104
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT217782
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: