Provider Demographics
NPI:1205830700
Name:GARVEY, ANNE M (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:GARVEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:SNIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:81 BEACH ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2784
Mailing Address - Country:US
Mailing Address - Phone:401-596-3229
Mailing Address - Fax:401-596-0850
Practice Address - Street 1:81 BEACH ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2784
Practice Address - Country:US
Practice Address - Phone:401-596-3229
Practice Address - Fax:401-596-0850
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD10288208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
4508334OtherAETNA PIN #
CT010010288RI01OtherBC/BS OF CT PIN#
2V0342OtherHEALTH NET PIN#
12-01809OtherUNITED HEALTH PIN#
4164OtherNEIGHBORHOOD HEALTH PIN#
RI22175-7OtherBC/BS OF RI PIN#
RI9022175Medicaid
CT003109081Medicaid
P2034952OtherOXOFORD HEALTH PIN#
CT010010288RI01OtherBC/BS OF CT PIN#
12-01809OtherUNITED HEALTH PIN#