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Search › Rhode Island › 208200000X

Jack Bevivino, MD

NPI 1780705707 · on the registry since 2007

Practice

Address
120 Dudley Street
Suite #201
Providence, RI 02905
Phone
(401) 521-9290
Fax
(401) 521-9297
Organisation at this address
Kathleen Fizgerald, Md
Enzer & Associates, Pc
Elmwood Home Care, Inc.
Philip R Rizzuto, Md Ltd
Chad P. Nevola, Md, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
208200000X
208200000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island