Organization Name: | ROBERT B TRIVETT |
NPI Number: | 1093991945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT BOWEN TRIVETT (SOLE PROPRIETIER) |
Mailing Address: | 35 Weaver Rd North Kingstown |
State: | RI US |
Postal Code: | 028527135 |
Phone Number: | 4012959719 |
Fax Number: | 4012950150 |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 01/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | RI4853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |