Individual
DR. MARVEN LEFTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 EAST AVE., SUITE 250, PAWTUCKET, RI 02860
(401) 351-2280
(401) 721-5709
Mailing address
407 EAST AVE, SUITE 250, PAWTUCKET, RI 02860
(401) 351-2280
(401) 721-5709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD10172
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7007422
—
RI
Enumeration date
12/07/2005
Last updated
09/23/2013
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