Vittimberga, Gwenn Maria

Vittimberga, Gwenn Maria is an individual health care provider with primary practice located at 1180 Hope St , Bristol RI 02809-1126. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Vittimberga, Gwenn Maria can be contacted via phone (401) 253-8900.

Contact Information

Primary practice address
1180 Hope St Bristol RI 02809-1126
Phone: (401) 253-8900
Fax: (401) 254-1093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD 7158 Rhode Island

Profile Details

NPI number 1891796702
LBN Legal business name Vittimberga, Gwenn Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jan 23rd, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891796702 NPPES
Rhode Island Other 03-00134 UNITED HEALTH CARE
Rhode Island Other 201972 UNITED HEALTH CARE
Rhode Island Other 401452 UNITED HEALTH CARE
Rhode Island Other 007158 UNITED HEALTH CARE
Rhode Island Other 20074-3 UNITED HEALTH CARE
Rhode Island Other 3804 UNITED HEALTH CARE
Rhode Island MEDICAID 9020074 UNITED HEALTH CARE

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