Individual
MARGUERITE A. NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY STREET, PROVIDENCE, RI 02903-4400
(401) 444-7856
Mailing address
BROWN MEDICINE 110 ELM STREET, PROVIDENCE, RI 02903
(877) 771-7401
(401) 784-4902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD07378
RI
207RI0200X
Infectious Disease Physician
Primary
MD07378
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007057384
MEDICARE PTAN
RI
05
—
110087818A
—
MA
05
—
9006470
—
RI
Enumeration date
12/05/2005
Last updated
03/17/2018
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