Healthcare Provider Details

I. General information

NPI: 1679550446
Provider Name (Legal Business Name): TZVI ROBBINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 03/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 VAN DUSEN RD
LAUREL MD
20707-9463
US

IV. Provider business mailing address

7300 VAN DUSEN RD
LAUREL MD
20707-9463
US

V. Phone/Fax

Practice location:
  • Phone: 443-538-4043
  • Fax: 301-497-8741
Mailing address:
  • Phone: 443-538-4043
  • Fax: 301-497-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0052735
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number101256598
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0052735
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: