Provider Demographics
NPI:1205817103
Name:DIROBBIO, CARL C (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:C
Last Name:DIROBBIO
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 1:2345 MENDON RD
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-6144
Mailing Address - Country:US
Mailing Address - Phone:401-765-0700
Mailing Address - Fax:401-762-3301
Practice Address - Street 1:2345 MENDON RD
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-6144
Practice Address - Country:US
Practice Address - Phone:401-765-0700
Practice Address - Fax:401-762-3301
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI6105207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9001556Medicaid
RI209001556Medicare ID - Type Unspecified
RI9001556Medicaid
RIC90277Medicare UPIN