Individual
MARCIA ROBITAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 BREWSTER ST, DEPARTMENT OF EMERGENCY MEDICINE, PAWTUCKET, RI 02860-4400
(401) 729-2191
(401) 729-2517
Mailing address
111 BREWSTER ST, DEPARTMENT OF EMERGENCY MEDICINE, PAWTUCKET, RI 02860-4400
(401) 729-2191
(401) 729-2517
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10649
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007061071
MEDICARE PTAN
RI
05
—
MR74507
—
RI
Enumeration date
12/05/2005
Last updated
05/17/2010
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