Individual
DR. PHILEMON T MARVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 WAKE ROBIN RD, SUITE 208, LINCOLN, RI 02865-4295
(401) 475-7650
(401) 475-7655
Mailing address
552 W MAIN RD, LITTLE COMPTON, RI 02837-1123
(401) 592-0137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41799
MA
207R00000X
Internal Medicine Physician
MD05394
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134546
—
MA
Enumeration date
11/01/2006
Last updated
01/09/2012
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