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Individual

DR. ROBERT J TUBBS

Active
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Individual

DR. ROBERT J TUBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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