Individual
PEPPINO E TETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2271
(401) 846-6400
Mailing address
275 BROADWAY, UNIT 2, NEWPORT, RI 02840-2612
(401) 845-1472
(401) 846-4874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10728
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD10728
RI
208M00000X
Hospitalist Physician
MD10728
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29884-3
BC/BS
RI
01
—
410635
BLUECHIP
RI
05
—
9025735
—
RI
Enumeration date
10/26/2005
Last updated
03/16/2011
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