Abuelo, J Gary

Abuelo, J Gary is an individual health care provider with primary practice located at 375 Wampanoag Trl Suite 302A, Riverside RI 02915-2232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Abuelo, J Gary can be contacted via phone (401) 649-4060.

Contact Information

Primary practice address
375 Wampanoag Trl Suite 302A Riverside RI 02915-2232
Fax: (401) 649-4061
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD04807 Rhode Island

Profile Details

NPI number 1396797551
LBN Legal business name Abuelo, J Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396797551 NPPES
Massachusetts MEDICAID 6173721
Massachusetts MEDICAID 9001946
Massachusetts Other 390006588

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