Healthcare Provider Details

I. General information

NPI: 1205830700
Provider Name (Legal Business Name): ANNE M. GARVEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNE M. SNIDER

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 03/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 BEACH ST
WESTERLY RI
02891-2784
US

IV. Provider business mailing address

81 BEACH ST
WESTERLY RI
02891-2784
US

V. Phone/Fax

Practice location:
  • Phone: 401-596-3229
  • Fax: 401-596-0850
Mailing address:
  • Phone: 401-596-3229
  • Fax: 401-596-0850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD10288
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: