Healthcare Provider Details

I. General information

NPI: 1679910251
Provider Name (Legal Business Name): JENNIFER LEIGH ROBBINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2013
Last Update Date: 12/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 CIVIC CENTER BLVD
PHILADELPHIA PA
19104
US

IV. Provider business mailing address

100 PENN SQUARE EAST 9TH FLOOR NORTH TOWER
PHILADELPHIA PA
19107
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-1000
  • Fax: 215-590-2180
Mailing address:
  • Phone: 267-425-9200
  • Fax: 267-425-9299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD457376
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: