Individual
MARGARET G KLITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1168
(401) 432-1500
Mailing address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1284
(401) 432-1509
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DO00379
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-30886
UNITED BEHAVIORAL HEALTH
RI
01
—
30150-1
BLUE CROSS
RI
01
—
406278
BLUE CHIP
RI
05
—
9006553
—
RI
Enumeration date
05/25/2006
Last updated
01/06/2011
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