Individual
DR. GAYLE REBOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD15030
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD15030
RI LICENSE
RI
Enumeration date
05/16/2007
Last updated
09/17/2015
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