Unknown Individual – Gastroenterology Physician, NPI 1497742431
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1, Slater Avenue, Blackstone, Wayland, Providence, Providence County, Rhode Island, 02906, United States
PROVIDENCE, RI 02906
Phone: (401) 353-1012
Fax: (401) 353-6362
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02906)
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