Dr. Robert Anthony Indeglia
Cardiothoracic Vascular Surgeon
208 Collyer St
Providence
, Rhode Island 02904-1560
Dr. Robert Anthony Indeglia
Cardiothoracic Vascular Surgeon
208 Collyer St
Providence
, Rhode Island 02904-1560
(401) 421-4232
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Robert Anthony Indeglia
- 208 Collyer St
- Providence, RI
- Zip : 02904-1560
- Fax : (401) 421-4232
- Phone : (401) 421-4200
Second Address
- Dr. Robert Anthony Indeglia
- 208 Collyer St
- Providence, RI
- Zip : 02904-1560
- Fax : (401) 421-4232
- Phone : (401) 421-4200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 4175 | RI |
National Provider Identifier
| NPI | 1144225673 |
|---|---|
| Provider Name | Dr. Robert Anthony Indeglia |
| First Address | Providence, RI 02904-1560 |
| Second Address | Providence, RI 02904-1560 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 20/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0000000783 | BLUE CROSS & BLUE SHIELD (01) | RI |
| 004313 | BLUE CHIP (01) | RI |
| 18-00103 | UNITED HEALTH NEW ENGLAND (01) | RI |
| D87144 | (02) | RI |
| RI00039 | (05) | RI |
| RI4175 | STATE LICENSE (01) | PR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.