Provider Demographics
NPI:1841225174
Name:ROBZYK, PHILLIP H (MD)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:H
Last Name:ROBZYK
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 1:131 FRUIT HILL AVE
Mailing Address - Street 2:UNIT 8
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-2851
Mailing Address - Country:US
Mailing Address - Phone:401-421-0564
Mailing Address - Fax:
Practice Address - Street 1:131 FRUIT HILL AVE
Practice Address - Street 2:UNIT 8
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02911-2851
Practice Address - Country:US
Practice Address - Phone:401-421-0564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78957207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine