Provider Demographics
NPI:1508821562
Name:BESSETTE, ROBERT FELIX (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:FELIX
Last Name:BESSETTE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SOCKANOSSET CROSSROAD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920
Mailing Address - Country:US
Mailing Address - Phone:401-270-7565
Mailing Address - Fax:401-270-7719
Practice Address - Street 1:105 SOCKANOSSET CROSSROAD
Practice Address - Street 2:SUITE 314
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920
Practice Address - Country:US
Practice Address - Phone:401-270-7565
Practice Address - Fax:401-270-7719
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDO003932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI30068-9OtherBLUECROSS
RI1053590257OtherGROUP MEDICARE NPI
RI30068-9OtherBLUECROSS