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Contact Information

GERALD A COLVIN, DO
100 KENYON AVE
WAKEFIELD, RI02879-4216
 Phone: 401-783-6670
 Fax: 401-789-4990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GERALD A COLVIN · (Male)

NPI Number 1417954199
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/07/2005
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 262469
  • RI License # DO00536
  • RI Medicaid GC33721
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
  • ROGER WILLIAMS MEDICAL CENTER - (Acute Care)
    825 CHALKSTONE AVENUE
    PROVIDENCE, RI 02908
  • SOUTH COUNTY HOSPITAL INC - (Acute Care)
    100 KENYON AVE
    WAKEFIELD, RI 02879
  • ST JOSEPH HEALTH SERVICES OF RI - (Acute Care)
    200 HIGH SERVICE AVENUE
    NORTH PROVIDENCE, RI 02904
  • WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND - (Acute Care)
    101 DUDLEY STREET
    PROVIDENCE, RI 02905
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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