Individual
GREGORY IAFRATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914-1204
(401) 432-2520
(401) 432-2457
Mailing address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914-1204
(401) 432-2520
(401) 432-2457
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11744
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102595
MASSMEDICAID
—
01
—
7057524
AETNA
—
01
—
9385125
PHHCS
—
01
—
AA31541
RIHPILGRIM
—
Enumeration date
10/13/2005
Last updated
09/21/2012
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