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NPI Code Detail

MEDICARE: MS. TINA ROBBINS PA C

MEDICARE: MS. TINA ROBBINS PA 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
1363A00000XPhysician Assistant000838CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128090OTHERCTCONTROLLED SUBSTANCE
2000838OTHERCTPHYSICIAN ASST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730168634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TINA ROBBINS PA C
Provider Business Mailing Address
First Line : 21 GRAND STREET
Second Line :
City : HARTFORD
State : CT
Zip : 06106
Country : US
Telephone Number : 860-550-7500
Fax Number : 860-550-7501
Provider Business Practice Location Address
First Line : 85 LAFAYETTE ST
Second Line :
City : NEW BRITAIN
State : CT
Zip : 06051-1803
Country : US
Telephone Number : 860-224-3642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 05/22/2024

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