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Individual

DR. REBEKAH L. GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4741
(401) 444-4445
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A86167
CA
207R00000X
Internal Medicine Physician
Primary
MD12562
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275597536
RI
Enumeration date
04/13/2006
Last updated
03/05/2026
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