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NPI Code Detail

MEDICARE: GARY R PLOTKIN M.D.

MEDICARE:   GARY R PLOTKIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianMD08319RI

General Provider Information

NPI Number : 1700859634
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY R PLOTKIN M.D.
Provider Business Mailing Address
First Line : 818 KNOLLWOOD DR
Second Line :
City : WOONSOCKET
State : RI
Zip : 02895-2614
Country : US
Telephone Number : 401-356-1952
Fax Number :
Provider Business Practice Location Address
First Line : 830 CHALKSTONE AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02908-4734
Country : US
Telephone Number : 401-273-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 05/15/2012

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Directions to “ GARY R PLOTKIN M.D.” Practice Location

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