# JEAN PLOVER M D FAMILY PRACTICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jean Plover MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619183407
- **Authorized official:** JEAN PLOVER MD (PHYSICIAN OWNER)
- **Authorized official phone:** (401) 784-8281

## Contact information

- **Practice address:** 1660 BROAD ST, CRANSTON, RI 02905-2730
- **Practice address phone:** (401) 784-8281
- **Practice address fax:** (401) 784-8285
- **Mailing address:** 1660 BROAD ST, CRANSTON, RI 02905-2730
- **Mailing address phone:** (401) 784-8281
- **Mailing address fax:** (401) 784-8285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD08149 | RI | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 12/20/2012