MEDICARE: ELIZABETH JOY ROBINSON M.D.

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	2080A0000X	Pediatric Adolescent Medicine Physician	MD057351L	PA

General Provider Information

NPI Number	:	1356312557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH JOY ROBINSON M.D.

Provider Business Mailing Address
First Line	:	1740 SOUTH ST
Second Line	:	SUITE 200
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1514
Country	:	US
Telephone Number	:	215-735-5600
Fax Number	:	215-735-5680

Provider Business Practice Location Address
First Line	:	1740 SOUTH ST
Second Line	:	SUITE 200
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1514
Country	:	US
Telephone Number	:	215-735-5600
Fax Number	:	215-735-5680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	04/14/2017

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