Provider Demographics
NPI:1003853268
Name:FOX, ROBERT E (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 229
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02880-0229
Mailing Address - Country:US
Mailing Address - Phone:401-788-3929
Mailing Address - Fax:401-783-1872
Practice Address - Street 1:268 POST RD
Practice Address - Street 2:SUITE 203
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-6600
Practice Address - Country:US
Practice Address - Phone:401-604-2530
Practice Address - Fax:401-604-2560
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD09837207R00000X
RIRI9837207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIP00015916OtherRAILROAD MEDICARE
RIP00015916OtherRAILROAD MEDICARE
G72029Medicare UPIN