Individual
DR. KRISTIN LYNCH GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 BREWSTER STREET, PAWTUCKET, RI 02860-4400
(401) 729-2419
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-4490
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042703
CT
207P00000X
Emergency Medicine Physician
Primary
MD12844
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007060889
MEDICARE PTAN
RI
05
—
110087744A
—
MA
05
—
381221900
—
MD
05
—
412512600
—
MD
05
—
KG73603
—
RI
Enumeration date
06/05/2006
Last updated
10/19/2018
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