Healthcare Provider Details

I. General information

NPI: 1477993160
Provider Name (Legal Business Name): MARTHA BROWN KOLE-WHITE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARTHA B KOLE

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DUDLEY ST
PROVIDENCE RI
02905-2401
US

IV. Provider business mailing address

455 TOLL GATE RD
WARWICK RI
02886-2759
US

V. Phone/Fax

Practice location:
  • Phone: 401-273-0641
  • Fax: 401-273-2919
Mailing address:
  • Phone: 401-273-0641
  • Fax: 401-273-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD15804
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number274082
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: