Individual
DR. GINA GERARDINE LA PROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2140 MENDON RD, CUMBERLAND, RI 02864-3843
(401) 642-2072
(401) 305-3958
Mailing address
2140 MENDON RD, CUMBERLAND, RI 02864-3843
(401) 642-2072
(401) 305-3958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
224304
MA
207Q00000X
Family Medicine Physician
Primary
MD10894
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010894
TUFTS AND TUFTS MED PREFERRED
—
01
—
042297845
TRICARE
—
05
—
110083759A
—
MA
01
—
1184690299
NEIGHBORHOOD HEALTH PLAN
—
01
—
21435-7
BCBS OF RHODE ISLAND
RI
01
—
7981290
AETNA
—
01
—
92588701
NETWORK HEALTH
—
01
—
AA309012
HARVARD PILGRIM
—
01
—
J46491
BCBSMA
MA
Enumeration date
02/28/2006
Last updated
03/24/2017
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