Individual
MR. ROBERT DANIEL MALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 VILLAGE SQUARE DR, SUITE 101, SOUTH KINGSTOWN, RI 02879-2292
(401) 789-5924
(401) 782-1770
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
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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