Individual
THERESA MARIE TRETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
566 TOLL GATE RD, WARWICK, RI 02886
(401) 738-4800
(401) 738-8153
Mailing address
566 TOLL GATE RD, WARWICK, RI 02886-2799
(401) 738-4800
(401) 738-8153
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
197268
NY
207W00000X
Ophthalmology Physician
Primary
MD16398
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100703
AMERICHOICE
—
05
—
01860122
—
NY
01
—
0498535
GHI
—
01
—
11006585
ACS MULTIPLAN
—
01
—
1926266
UNITED
—
01
—
197268A40
HEALTHFIRST
—
01
—
32259P
HIP
—
01
—
396067
CONNECTICARE
—
01
—
421B01
BCBS
NY
01
—
4C3021
HEALTHNET
—
01
—
5490713
AETNA
—
01
—
7860722
CIGNA
—
01
—
P1497267
OXFORD
NY
01
—
TT7268
ATLANTIS
—
Enumeration date
01/16/2007
Last updated
08/21/2018
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