Individual
DOUGLAS M BURTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 COLLYER ST, PROVIDENCE, RI 02904-1560
(401) 793-7191
(401) 793-7200
Mailing address
208 COLLYER ST, PROVIDENCE, RI 02904-1560
(401) 793-7191
(401) 793-7200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
54366
MA
207RI0011X
Interventional Cardiology Physician
Primary
MD13236
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006434
—
RI
Enumeration date
05/31/2006
Last updated
11/16/2012
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