NPI 1124025663

Theresa A. Graves, MD

Practitioner Surgery Physician Providence, RI

Practice location

Address: 2 Dudley St Suite 470, Providence, RI 02905-3236
Phone: (401) 553-8304
Fax: (401) 868-2304
Mailing address: PO Box 16149, Rumford, RI 02916-0697

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD08747 (RI)

Other Surgery providers in Rhode Island →

Registry record

NPI: 1124025663
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2005
Record last updated: 29 Jan 2020

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.