Healthcare Provider Details

I. General information

NPI: 1639282171
Provider Name (Legal Business Name): JENNIFER RETSINAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 TOLL GATE ROAD
WARWICK RI
02886
US

IV. Provider business mailing address

455 TOLL GATE RD
WARWICK RI
02886-2759
US

V. Phone/Fax

Practice location:
  • Phone: 401-739-2000
  • Fax: 401-732-7842
Mailing address:
  • Phone: 401-273-0641
  • Fax: 401-273-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD10266
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: