Individual
DR. TRACEY HITCHEN MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
154 WATERMAN ST, PROVIDENCE, RI 02906-3116
(401) 383-4411
(401) 383-6010
Mailing address
36 METHYL ST, PROVIDENCE, RI 02906-4902
(401) 273-2468
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
M.D.11993
RI
Other
Enumeration date
06/07/2006
Last updated
03/07/2023
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