Individual
DR. BETHANY ROSE REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
26 BLACKAMORE AVE, CRANSTON, RI 02910-4506
(315) 705-9150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
LP05784
RI
207R00000X
Internal Medicine Physician
Primary
LP05784
RI
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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