Provider Demographics
NPI:1992896146
Name:GILL, CHRISTINE A (MD)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:A
Last Name:GILL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:42 VALLEY ROAD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-6376
Mailing Address - Country:US
Mailing Address - Phone:401-849-4645
Mailing Address - Fax:401-848-5809
Practice Address - Street 1:42 VALLEY ROAD
Practice Address - Street 2:SUITE 7
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-6376
Practice Address - Country:US
Practice Address - Phone:401-849-4645
Practice Address - Fax:401-848-5809
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2013-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD07669207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1005890001Medicare NSC
RIE35490Medicare UPIN
RI189020012Medicare PIN