DANIEL T SHREVE MD INC
Managed Care Organizations at Hazard Ave, East Providence, RI

License number
Rhode Island MD03558
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Rhode Island MD03558
Category
Managed Care Organizations
Type
Exclusive Provider Organization
License number
Rhode Island MD03558
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. DANIEL T SHREVE M.D.
Title: PHYSICIAN
Phone: (401) 434-9100
Address
Address
47 Hazard Ave, East Providence, RI 02914
National Provider ID: 1730634254
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DANIEL T. SHREVE, M.D., INC

47 Hazard Ave, East Providence, RI 02914

Industry:
PHYSICIAN, MEDICAL OFFICE/PRACTICE AND SERVICES, Medical Doctor's Office
Doing business as:
Daniel T Shreve Inc<br>Daniel T Shreve Inc - Daniel T Shreve MD
Registration:
Mar 20, 1978
Phone:
(401) 434-9100 (Phone)
State ID:
000011175
Business type:
Professional Service Corporation
Director of Operationss:
Daniel T Shreve (PRESIDENT), 55 Robincrest Ct, Seekonk, MA 02771 (Physical),Anna Rosa (Medical Assistant),Drdaniel Shreve (Family Practitioner, Medical Doctor, President),...
Agent:
Daniel T. Shreve,47 Hazard Ave, East Providence, RI 02914 (Physical)
Categories:
Family & General Practice Physicians & Surgeons, Physicians & Surgeons

Managed Care Organizations licenses in Rhode Island

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