Individual
JANE G MINIUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1800 MAIN RD, TIVERTON, RI 02878-4625
(401) 625-5552
(401) 625-5277
Mailing address
200 MILL RD, STE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO00436
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003532
—
RI
Enumeration date
07/01/2005
Last updated
04/23/2020
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