Healthcare Provider Details

I. General information

NPI: 1255574570
Provider Name (Legal Business Name): TRAVIS MCFARLANE COTTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 TOLL GATE ROAD ASP BUILDING
WARWICK RI
02886-2759
US

IV. Provider business mailing address

455 TOLL GATE ROAD PRC AND CREDENTIAILNG
WARWICK RI
02886-2759
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-6611
  • Fax: 401-921-6952
Mailing address:
  • Phone: 401-273-0641
  • Fax: 401-273-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD15022
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: