Healthcare Provider Details

I. General information

NPI: 1972639789
Provider Name (Legal Business Name): NEWPORT OB-GYN ASSOCIATES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 FRIENDSHIP ST UNIT 220
NEWPORT RI
02840-2264
US

IV. Provider business mailing address

19 FRIENDSHIP ST UNIT 220
NEWPORT RI
02840-2264
US

V. Phone/Fax

Practice location:
  • Phone: 401-848-5556
  • Fax: 401-848-5533
Mailing address:
  • Phone: 401-848-5556
  • Fax: 401-848-5533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateRI

VIII. Authorized Official

Name: LINDA WINTHROP
Title or Position: SECRETARY
Credential:
Phone: 401-848-5556