Individual
ANILA RITA PETER-FAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
68 CUMBERLAND ST, SUITE 103, WOONSOCKET, RI 02895-3323
(401) 762-3838
(401) 762-8252
Mailing address
68 CUMBERLAND ST, SUITE 103, WOONSOCKET, RI 02895-3323
(401) 762-3838
(401) 762-8252
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD11678
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412529
BLUE CHIP OF RI
RI
01
—
6149-8
BLUE CROSS OF RI
RI
05
—
7057510
—
RI
Enumeration date
10/05/2005
Last updated
01/20/2009
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