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Individual

MR. ROBERT DANIEL MALTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7069
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004050
BLUE CHIP
01
1200223
UNITED HEALTH
01
1893
NEIGHBORHOOD HEALTH PLAN
RI
01
710054201
CIGNA
05
RM04043
RI
Enumeration date
06/27/2006
Last updated
01/18/2016
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