Individual
CHRISTINE GARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CPA00372
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01/15/2008
NHPRI
RI
01
—
1/15/2008
NHPRI
RI
01
—
1215941448
NPI
RI
01
—
29688-5
BLUECHIP
RI
01
—
412789
BCBSRI
RI
05
—
9004198
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
—
01
—
979004198
RI MEDICARE
RI
Enumeration date
07/27/2006
Last updated
02/05/2010
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