Doctor Name: | DR. MICHAEL ANTHONY ROBINSON |
NPI Number: | 1023051653 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | PD1511 |
Business Practice Address: | 1443 Beacon St Brookline, MA - 024464707 |
Business Phone Number: | 6172772662 |
Business Fax Number: | 6177349733 |
Mailing Address: | 1443 Beacon St, BROOKLINE |
State: | MA |
Postal Code: | 024464707 |
Phone Number: | 6172772662 |
Fax Number: | 6177349733 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 04/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | PD1511 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |