Organization
JOHN DOE, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN WHITEHEAD (PRACTICE MANAGER)
(401) 453-7585
Entity
Organization
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 453-7585
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 453-7585
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
08/27/2006
Last updated
09/11/2025
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