Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD10527 | RI |
N | 207VG0400X | Gynecologist | MD10527 | RI |
NPI | 1023038460 |
---|---|
Provider Name | Rebecca Crichton |
First Address | Providence, RI 02905-2401 |
Second Address | Providence, RI 02905-2499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 29/10/2020 |