Individual
DR. ROBERT J TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
CMD12100
RI
207P00000X
Emergency Medicine Physician
Primary
MD12100
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007058590
MEDICARE
RI
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
06/11/2009
NHPRI
RI
01
—
08/01/2009
BCBS
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
MA
01
—
1356395966
NPI
RI
05
—
2119757
—
MA
05
—
7058590
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
05/19/2006
Last updated
12/01/2023
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