Provider Demographics
NPI:1174738967
Name:VIEAU, COLETTE S (M D)
Entity type:Individual
Prefix:MRS
First Name:COLETTE
Middle Name:S
Last Name:VIEAU
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 BLUFF AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-5106
Mailing Address - Country:US
Mailing Address - Phone:401-662-1604
Mailing Address - Fax:
Practice Address - Street 1:95 PITMAN ST STE 2200
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4311
Practice Address - Country:US
Practice Address - Phone:401-437-6777
Practice Address - Fax:401-437-6814
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD13049208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics