Basic Information
| Provider Information | |||||||||
| NPI: | 1720124878 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUNFEE | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1030 NEW HOLLAND AVE | ||||||||
| Address2: | BLDG 12A SUITE 200 | ||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176015690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175445028 | ||||||||
| FaxNumber: | 7175444296 | ||||||||
| Practice Location | |||||||||
| Address1: | 2118 SPRING VALLEY RD | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176012427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175440150 | ||||||||
| FaxNumber: | 7175440151 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2007 | ||||||||
| LastUpdateDate: | 12/04/2017 | ||||||||
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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 | 207Q00000X | MD047524L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | D0064891 | MD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | C1-0008126 | DE | N | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1303980 | 05 | PA | MEDICAID |