Individual
DR. CHRISTOPHER W LEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 W RIVER ST, SUITE 22B, PROVIDENCE, RI 02904-2615
(401) 572-3887
(401) 865-6192
Mailing address
148 W RIVER ST, SUITE 22B, PROVIDENCE, RI 02904-2615
(401) 572-3887
(401) 865-6192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD06618
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110039297
RR MEDICARE
RI
01
—
26-4839161
TAX ID
RI
05
—
7000367
—
RI
01
—
709003711
GROUP MEDICARE
RI
Enumeration date
09/30/2005
Last updated
07/07/2009
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