Individual
JEANNETTE MARY DOYLE-GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
164 SUMMITT AVE, ROOM C70, THE MIRIAM HOSPITAL, PROVIDENCE, RI 02906
(401) 793-3922
(401) 435-7069
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA2597
MA
363AS0400X
Surgical Physician Assistant
Primary
PA00065
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9093841
—
RI
Enumeration date
06/15/2006
Last updated
02/16/2011
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