Healthcare Provider Details

I. General information

NPI: 1497749840
Provider Name (Legal Business Name): DANIEL S ROBBINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 SEWALL ST
PORTLAND ME
04102-2603
US

IV. Provider business mailing address

324 GANNETT DR SUITE 200
SOUTH PORTLAND ME
04106-3270
US

V. Phone/Fax

Practice location:
  • Phone: 207-828-2100
  • Fax:
Mailing address:
  • Phone: 207-482-7800
  • Fax: 207-482-7898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0420009730
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD21337
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: