Basic Information
| Provider Information | |||||||||
| NPI: | 1487747283 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WILSON-SMITH | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FEDERAL ST | ||||||||
| Address2: | STE SW200 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031155 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569687433 | ||||||||
| FaxNumber: | 8569688366 | ||||||||
| Practice Location | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422186 | ||||||||
| FaxNumber: | 8569688575 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 04/25/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MB076560 | NJ | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VX0201X | MB07656000 | NJ | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
ID Information
| ID | Type | State | Issuer | Description | 3607223 | 01 | NJ | AETNA | OTHER | P3385318 | 01 | NJ | OXFORD | OTHER | 2356258000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER | 3246566 | 01 | NJ | CIGNA | OTHER | 60021133 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 0044121 | 05 | NJ | MEDICAID | 1682678 | 01 | NJ | AMERIHEALTH PPO/PA BS | OTHER | 60021135 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 3607227 | 01 | NJ | AETNA | OTHER | 2516142 | 01 | NJ | UNITED HEALTHCARE | OTHER | 010006467 | 01 | NJ | AMERICHOICE | OTHER | 3K5433 | 01 | NJ | HEATHNET | OTHER | 42301 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER |