Organization
GASTROENTEROLOGY SPECIALISTS, INC
Active
Organization
GASTROENTEROLOGY SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH GERVASINI (OFFICE MANAGER)
(401) 596-6330
Entity
Organization
Contact information
Practice address
45 WELLS ST, SUITE 103, WESTERLY, RI 02891-2927
(401) 596-6330
(401) 348-0420
Mailing address
45 WELLS ST, SUITE 103, WESTERLY, RI 02891-2927
(401) 596-6330
(401) 348-0420
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104130
—
CT
05
—
GS24547
—
RI
Enumeration date
09/21/2006
Last updated
01/22/2013
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