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General NPI Number Information
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NPI Number | 1487747283
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Entity Type | Individual
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Provider Name | ROBIN R WILSON-SMITH D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 900 MEDICAL CENTER DR STE 205
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City | SEWELL
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State | NJ
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Zip | 08080-2358
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Country | US
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Telephone | 856-557-5400
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Fax | 856-557-5399
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE SW200
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City | CAMDEN
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State | NJ
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Zip | 08103-1155
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Country | US
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Telephone | 856-968-7433
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Fax | 856-968-8366
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MB076560
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MB07656000
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License Number State | NJ
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