Individual
MR. DERRICK M ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
407 EAST AVE STE 110, PAWTUCKET, RI 02860-5299
(401) 725-4700
Mailing address
407 EAST AVE STE 110, PAWTUCKET, RI 02860-5299
(401) 725-4700
(401) 725-4740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00050-G
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669518379
NEIGHBORHOODHEALTHPLAN
RI
05
—
1669518379
—
RI
01
—
329596
BLUECROSSBLUESHIELD
RI
01
—
414224
BLUECHIP
RI
01
—
6495796
UNITEDHEALTHCARE
RI
01
—
941024
TUFTS
RI
Enumeration date
01/29/2007
Last updated
11/14/2025
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