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Individual

DR. ROBERT ALEXANDER MACBETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
172 ARMISTICE BLVD, PAWTUCKET, RI 02860-3219
(401) 725-6868
Mailing address
172 ARMISTICE BLVD, PAWTUCKET, RI 02860-3219
(401) 725-6868

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2143
MA
152W00000X
Optometrist
Primary
304
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201332
BLUE CHIP
RI
01
2200197
U HEALTH
RI
01
27917
NEIGHBORHOOD HEALTH PLAN
05
9009773
RI
01
9523
NEIGHBORHOOD HEALTH PLAN
01
97738
BLUE CROSS
Enumeration date
09/12/2006
Last updated
07/08/2007
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