Organization
PROVIDENCE FERTILITY INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN WOLD MD (OWNER)
(401) 272-2562
Entity
Organization
Contact information
Practice address
1150 RESERVOIR AVE STE 300, CRANSTON, RI 02920-6043
(401) 366-6027
(401) 366-6079
Mailing address
1150 RESERVOIR AVE STE 300, CRANSTON, RI 02920-6043
(401) 366-6027
(401) 366-6079
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
01/15/2019
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