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Individual

GERRY OVIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4741
(401) 444-4445
Mailing address
110 ELM ST, PROVIDENCE, RI 02903-4626
(401) 443-4992
(401) 444-4445

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04269
RI
207R00000X
Internal Medicine Physician
Primary
MD17719
RI

Other

Enumeration date
05/31/2018
Last updated
06/06/2021
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