Provider Demographics
NPI:1366585986
Name:ROBINSON, TED H (MD)
Entity type:Individual
Prefix:DR
First Name:TED
Middle Name:H
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2505 SAMARITAN DR
Mailing Address - Street 2:STE 102
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4000
Mailing Address - Country:US
Mailing Address - Phone:408-358-8834
Mailing Address - Fax:408-358-8864
Practice Address - Street 1:2505 SAMARITAN DR
Practice Address - Street 2:STE 102
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4000
Practice Address - Country:US
Practice Address - Phone:408-358-8834
Practice Address - Fax:408-358-8864
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2024-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA433572081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC04021Medicare UPIN
CA00A433570Medicare ID - Type Unspecified