Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD09025 | RI |
NPI | 1003836958 |
---|---|
Provider Name | Dr. Robert A Partridge |
First Address | Providence, RI 02940-9484 |
Second Address | Providence, RI 02903-4923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 06/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04-15-2009 | UNITED HEALTHCARE (01) | RI |
07-31-2008 | TUFTS HEALTH PLAN (01) | MA |
10012009 | BCBSRI (01) | RI |
10-08-2009 | NHPRI (01) | RI |
3186326 | (05) | MA |
7005229 | (05) | RI |
939025129 | RI MEDICARE GROUP NUMBER (01) | RI |
F25583 | (02) | RI |