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Individual

AMITY RUBEOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
65 SOCKANOSSET CROSS RD STE 301, CRANSTON, RI 02920-5536
(401) 943-6910
(401) 946-5130
Mailing address
65 SOCKANOSSET CROSS RD STE 301, CRANSTON, RI 02920-5536
(401) 943-6910
(401) 946-5130

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO00619
RI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DO 00619
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AR68301
RI
Enumeration date
05/21/2006
Last updated
02/28/2019
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