Individual
JEANNE M OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
285 GOVERNOR ST, SUITE 300, PROVIDENCE, RI 02906-3237
(401) 444-3490
(401) 444-3491
Mailing address
PO BOX 1358, PROVIDENCE, RI 02901-1358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09601
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9025358
—
RI
Enumeration date
05/27/2006
Last updated
11/15/2007
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