Healthcare Provider Details

I. General information

NPI: 1275064644
Provider Name (Legal Business Name): JOSHUA ELI ROBINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 10/11/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 HENRY ST
GREENSBORO NC
27405-3633
US

IV. Provider business mailing address

2704 HENRY ST
GREENSBORO NC
27405-3633
US

V. Phone/Fax

Practice location:
  • Phone: 336-663-5700
  • Fax: 336-663-5734
Mailing address:
  • Phone: 336-663-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number2022-01339
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: