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Individual

JOHN C BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
38 HAMLET AVE, WOONSOCKET, RI 02895-4423
(401) 762-0020
(401) 762-1819
Mailing address
229 MEDWAY ST, APT 301, PROVIDENCE, RI 02906-5300
(401) 751-4633

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD03913
RI
2085U0001X
Diagnostic Ultrasound Physician
Primary
MD03913
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003913
TUFTS TGR
RI
05
0193551
MA
01
1198-5
BCBS TGR OFFICE
RI
01
1570-5
TGR KENT
RI
01
16-00137
UHC
RI
01
2203
NHP TGR
RI
01
27045
MA LICENSE
MA
01
408889
BLUE CHIP TGR
RI
05
7008831
RI
01
7111640
AETNA TGR OFFICE
RI
01
756624
CONNECTICARE TGR
RI
01
MD03913
RI LICENSE
RI
01
P00180550
BCBS TGR
RI
Enumeration date
05/27/2005
Last updated
09/11/2025
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