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Catherine C Pettit, MD

Emergency Medicine in Providence, RI. Individual provider (NPI-1).

NPI number1760617880
StatusActive
Last updated in NPPESAug 8, 2012

Details

NPI
1760617880
Entity type
Individual (NPI-1)
Name
Catherine C Pettit
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
May 19, 2009
Last updated
Aug 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineMD14055RIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

164 Summit Ave
Providence, RI 02906-2853

Phone 401-444-5175

Mailing address

Po Box 9484
Providence, RI 02940-9484

Phone 401-854-2504 · Fax 401-854-2519

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