NPI 1114032497

Clyde H Belgrave, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Providence, RI

Practice location

Address: 830 Chalkstone Ave, Providence, RI 02908-4734
Phone: (401) 457-3013
Mailing address: PO Box 716, Wakefield, RI 02880-0716

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence MD10936 (RI)

Other Pathology providers in Rhode Island →

Registry record

NPI: 1114032497
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.