Individual provider · NPI-1

Dr. John Robert Audett, MD

Internal Medicine · Warwick, RI

NPI number1609872878
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1609872878
Entity type
Individual (NPI-1)
Name
Dr. John Robert Audett
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 22, 2005
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine6380RIYes

Practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Phone 401-737-7000 · Fax 401-736-1099

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759

Phone 401-737-7000 · Fax 401-736-1099

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