Individual
MARY ANNE FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, APC 138, PROVIDENCE, RI 02903-4923
(401) 444-5391
(401) 444-8918
Mailing address
PO BOX 3768, BOSTON, MA 02241-3768
(401) 444-7371
(401) 444-2127
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD10307
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9021217
—
RI
Enumeration date
08/12/2006
Last updated
07/08/2007
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