Provider Demographics
NPI:1649237538
Name:TREIBWASSER, ANDREW S (MD)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:S
Last Name:TREIBWASSER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:75 NEWMAN AVE SUITE 100
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916
Mailing Address - Country:US
Mailing Address - Phone:401-453-0666
Mailing Address - Fax:401-415-0081
Practice Address - Street 1:55 LAMBERT LIND HIGHWAY
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-737-4711
Practice Address - Fax:401-732-0419
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2025-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI7503207L00000X
RIMD07503207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7001946Medicaid
RIF08759Medicare UPIN
RI7001946Medicaid