Individual
TIFFANY J LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL STE 401, RIVERSIDE, RI 02915-2237
(401) 444-7959
(401) 432-6997
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD16408
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912249418
—
RI
Enumeration date
03/22/2013
Last updated
12/17/2025
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