Individual
PETER MICHAEL SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HIGH SERVICE AVENUE, ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND, NORTH PROVIDENCE, RI 02904
(401) 490-5365
Mailing address
PO BOX 1340, CHARLESTOWN, RI 02813-1340
(401) 788-8212
(401) 788-8125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD05276
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8002001
—
RI
Enumeration date
05/20/2006
Last updated
11/30/2009
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