Individual
HOLLY C GIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5174
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11373
RI
2085R0202X
Diagnostic Radiology Physician
219965
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003123776
MED ASSISTANCE
CT
01
—
0308550
CIGNA
—
01
—
1988
NHPRI
—
05
—
2083523
—
MA
01
—
3707992
AETNA
—
01
—
411926
BLUECHIP
—
01
—
9003515
MEDICAL ASSISTANCE
RI
01
—
9360453
PHHCS
—
01
—
AA16957
RIHPILGRIM
—
Enumeration date
11/17/2005
Last updated
07/27/2022
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