Provider Demographics
NPI:1760479091
Name:ROBBINS, MICHAEL B (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 ESSEX CENTER DR
Mailing Address - Street 2:FOURTH FLOOR
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2901
Mailing Address - Country:US
Mailing Address - Phone:978-538-3600
Mailing Address - Fax:978-538-3610
Practice Address - Street 1:1 ESSEX CENTER DR
Practice Address - Street 2:FOURTH FLOOR
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2901
Practice Address - Country:US
Practice Address - Phone:978-538-3600
Practice Address - Fax:978-538-3610
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA43770208000000X, 2084N0402X
NH6074208000000X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH00000151Medicaid
MAD24017OtherBCBS
MA0004768OtherNHP
MA2067897Medicaid
MA0004768OtherNHP
MAD24017Medicare ID - Type UnspecifiedMEDICARE
NH00000151Medicaid