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Individual

GREGORY J DUBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5174
(401) 921-9212
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 921-9212

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD09360
RI
2085R0204X
Vascular & Interventional Radiology Physician
205803
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD09360
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000001988
NHPRI
01
007007231
HOSPITAL PIN
01
009360
BLUE SHIELD
01
0162221
HEALTHY START
05
0162221
MA
01
1600025
UNITED HEALTH PLANS
01
241363
RIHPILGRIM
01
300100211
RAILROAD MEDICARE
01
405085
BLUE CHIP
01
7007223
MEDICAL ASSISTANCE
RI
01
720082001
CIGNA
Enumeration date
10/21/2005
Last updated
10/23/2024
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