Gravallese, Peter
Gravallese, Peter is an individual health care provider with primary practice located at 101 Dudley St Women & Infants Hospital, Providence RI 02905-2401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gravallese, Peter can be contacted via phone (401) 274-1122.Contact Information
Primary practice address
101 Dudley St Women & Infants Hospital
Providence RI 02905-2401
Phone: (401) 274-1122
Fax: (401) 453-7533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD09572 | Rhode Island |
Profile Details
| NPI number | 1982657995 |
|---|---|
| LBN Legal business name | Gravallese, Peter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Sep 22nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982657995 | NPPES |
| Rhode Island | MEDICAID | 7006149 |
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