Individual
GAYLE J WEAVER
Active
Individual
GAYLE J WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CMD10470
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23984-6
BCBS RI
RI
01
—
409132
BLUECHIP
RI
05
—
9023855
—
RI
01
—
AA28997
HPHC
RI
Enumeration date
01/08/2006
Last updated
05/22/2008
Update your record
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