Individual
DR. LOUIS VINCENT COLAVECCHIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 KINGSTOWN RD, NARRAGANSETT, RI 02882-3239
(401) 789-9911
(401) 789-3106
Mailing address
360 KINGSTOWN RD, NARRAGANSETT, RI 02882-3239
(401) 789-9911
(401) 789-3106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5440
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000491
BLUE CHIP
RI
01
—
0300142
UNITED HEALTHCARE
—
01
—
766-1
BLUE CROSS BLUE SHIELD
RI
05
—
LC00179
—
RI
Enumeration date
09/05/2005
Last updated
07/08/2007
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