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Individual

JEFFREY M ROGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7352
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000001988
NRPRI
01
003109453
CT MED ASSISTANCE
01
004373
BLUECHIP
01
007000614
HOSPITALPIN
01
007352
TUFTS
01
1600203
UNITED HEALTH PLANS
01
240164
RIHPILGRIM
01
300067433
RAILROAD MEDICARE
01
3206068
HEALTHY START
05
3206068
MA
01
7000614
RI MEDICAL ASSISTANCE
01
720051801
CIGNA
01
7352
FEP BLUE CROSS
Enumeration date
10/24/2005
Last updated
03/28/2019
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