Healthcare Provider Details

I. General information

NPI: 1245371103
Provider Name (Legal Business Name): ELIZABETH ROBINSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LEE STREET 4TH FLOOR
CHARLOTTESVILLE VA
22908-0001
US

IV. Provider business mailing address

500 RAY C. HUNT DRIVE
CHARLOTTESVILLE VA
22903
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-5321
  • Fax: 434-982-3816
Mailing address:
  • Phone: 434-980-6140
  • Fax: 434-972-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number240158
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: