Healthcare Provider Details

I. General information

NPI: 1386905073
Provider Name (Legal Business Name): BROOKE ROEBUCK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 11/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1272 W MAIN RD
MIDDLETOWN RI
02842
US

IV. Provider business mailing address

1272 W MAIN RD
MIDDLETOWN RI
02842-6405
US

V. Phone/Fax

Practice location:
  • Phone: 401-847-2290
  • Fax: 401-849-8446
Mailing address:
  • Phone: 401-847-2290
  • Fax: 401-849-8446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number29288
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: