Individual
FRANK OVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
(401) 519-0330
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD10315
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123391
—
MA
01
—
03/01/2009
BCBSRI
RI
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
10-08-2009
NHPRI
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
MA
01
—
1679587505
NPI
RI
05
—
7008484
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
07/28/2006
Last updated
08/24/2020
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