Basic Information
Provider Information
NPI: 1851958219
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAMP
FirstName: ROBIN
MiddleName: SCOTT
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9 E EDINBURGH RD
Address2:  
City: OCEAN CITY
State: NJ
PostalCode: 082264713
CountryCode: US
TelephoneNumber: 6094089463
FaxNumber:  
Practice Location
Address1: 1505 W SHERMAN AVE
Address2:  
City: VINELAND
State: NJ
PostalCode: 083607059
CountryCode: US
TelephoneNumber: 8566418000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/21/2019
LastUpdateDate: 09/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207Q00000X25MA11254000NJY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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