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Individual

DR. GERALD A COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 783-6670
(401) 789-4990
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 783-6670
(401) 789-4990

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
262469
NY
207RH0003X
Hematology & Oncology Physician
Primary
DO00536
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GC33721
RI
Enumeration date
07/07/2005
Last updated
09/09/2025
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