Provider Demographics
NPI:1932215316
Name:TIEN, DAVID ROBBINS (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ROBBINS
Last Name:TIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 DUDLEY ST
Mailing Address - Street 2:SUITE 505
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3236
Mailing Address - Country:US
Mailing Address - Phone:401-444-7008
Mailing Address - Fax:401-444-4862
Practice Address - Street 1:2 DUDLEY ST
Practice Address - Street 2:SUITE 505
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3236
Practice Address - Country:US
Practice Address - Phone:401-444-7008
Practice Address - Fax:401-444-4862
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIRI7784174400000X
RIMD007784207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9002384Medicaid
RI9002384Medicaid