Individual
MRS. COLETTE R WHITBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 766-2970
Mailing address
20 CUMBERLAND HILL RD UNIT 202, WOONSOCKET, RI 02895-4854
(401) 766-2970
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
220095
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038790
—
MA
01
—
468774
TUFTS
—
01
—
AH14988
HARVARD PILGRIM
—
Enumeration date
05/03/2006
Last updated
05/02/2024
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