MEDICARE: RICHARD G. ROBINSON, M.D & MARK J. CLINTON, M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician		VA
2	207RP1001X	Pulmonary Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275625469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD G. ROBINSON, M.D & MARK J. CLINTON, M.D., P.C.

Provider Business Mailing Address
First Line	:	2296 OPITZ BLVD.
Second Line	:	SUITE 230
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-3345
Country	:	US
Telephone Number	:	703-878-0924
Fax Number	:	703-878-1037

Provider Business Practice Location Address
First Line	:	2296 OPITZ BLVD.
Second Line	:	SUITE 230
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-3345
Country	:	US
Telephone Number	:	703-878-0924
Fax Number	:	703-878-1037

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD G. ROBINSON
Credential	:	M.D.
Telephone Number	:	703-878-0924

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	09/05/2012

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