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Organization

ROBERT B TRIVETT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT BOWEN TRIVETT MD (SOLE PROPRIETIER)
(401) 295-9719
Entity
Organization

Contact information

Practice address
35 WEAVER RD, NORTH KINGSTOWN, RI 02852-7135
(401) 295-9719
(401) 295-0150
Mailing address
35 WEAVER RD, NORTH KINGSTOWN, RI 02852-7135
(401) 295-9719
(401) 295-0150

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
RI4853
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RT00205
RI
Enumeration date
01/10/2008
Last updated
01/10/2008
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