| Jean Plover Md | |
|
1660 Broad St Cranston RI 02905-2730 | |
| (401) 784-8281 | |
| (401) 784-8285 |
| Full Name | Jean Plover Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1660 Broad St, Cranston, Rhode Island |
| Authorized Official Name and Position | Jean Plover (PHYSICIAN OWNER) |
| Authorized Official Contact | 4017848281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Plover Md 1660 Broad St Cranston RI 02905-2730 Ph: (401) 784-8281 | Jean Plover Md 1660 Broad St Cranston RI 02905-2730 Ph: (401) 784-8281 |
| NPI Number | 1619183407 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 12/20/2012 |
| Medicare PECOS PAC ID | 4486807328 |
|---|---|
| Medicare Enrollment ID | O20121231000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619183407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD08149 (Rhode Island) | Primary |
| Provider Name | Regina R Plover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881625788 PECOS PAC ID: 1557514320 Enrollment ID: I20130102000357 |
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