Provider Demographics
NPI:1164426011
Name:DOBBIN, JAMES MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:DOBBIN
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 1:850 AQUIDNECK AVE
Mailing Address - Street 2:UNIT B-9
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-7244
Mailing Address - Country:US
Mailing Address - Phone:401-849-4448
Mailing Address - Fax:401-849-6479
Practice Address - Street 1:850 AQUIDNECK AVE
Practice Address - Street 2:UNIT B-9
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-7244
Practice Address - Country:US
Practice Address - Phone:401-849-4448
Practice Address - Fax:401-849-6479
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD07053207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI007053OtherTUFTS ID NUMBER
RI1009006OtherUNITED HEALTH
RI0000002519OtherRI BLUE CROSS
RI0400001942OtherRAILROAD MEDICARE
RI1041OtherNEIGHBORHOOD HEALTH PLAN
RI200164OtherBLUE CHIP ID NUMBER
RI7002779Medicaid
RI007053OtherTUFTS ID NUMBER