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Individual

THOMAS J DUBUQUE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT MSPT

Contact information

Practice address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
(401) 330-1428
(401) 330-1447
Mailing address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 330-1428
(401) 330-1447

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01833
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
411376
RI BLUE CHIP
RI
01
640014E
UNITED HEALTH NEW ENGLAND
01
75277
RI BLUE CROSS
RI
Enumeration date
08/12/2006
Last updated
02/14/2019
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