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Organization

MARSHA FITTRO PC,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHA FITTRO RN,MSN,BC,CDOE (PRESIDENT)
(401) 435-5128
Entity
Organization

Contact information

Practice address
184 WAMPANOAG TRL, RIVERSIDE, RI 02915-2206
(401) 435-5128
(401) 270-4704
Mailing address
184 WAMPANOAG TRL, RIVERSIDE, RI 02915-2206

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
14926
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11450254
UNITED HEALTHCARE OF RI
RI
01
29238-2
BCBSOFRI
RI
01
30333
NEIGHBORHOOD HEALTH
RI
Enumeration date
07/08/2006
Last updated
08/22/2020
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