NPI 1619056355 · live from the CMS NPI Registry
Robert W Gibbons, DPM
Podiatrist, Foot & Ankle Surgery in North Providence, RI. National Provider Identifier 1619056355, active.
NPI record
| NPI | 1619056355 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2050 Mineral Spring Ave, North Providence, RI 02911 |
| Practice phone | 401-231-0500 |
| Mailing address | 250 Wampanog Trail, Suite 205, East Providence, RI 02915 |
| Enumerated | November 3, 2006 |
| Last updated | February 7, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | DPM00189 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.