Individual
MRS. OLGA V TVERSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 PARK AVE, CRANSTON, RI 02910
(401) 943-9011
(401) 464-4087
Mailing address
1120 PARK AVE, CRANSTON, RI 02910
(401) 943-9011
(401) 464-4087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD08952
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050486377
TAX ID
RI
01
—
202596
BLUE CROSS
RI
01
—
204781
BLUECHIP
RI
05
—
9020254
—
RI
Enumeration date
10/02/2006
Last updated
05/15/2018
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