Andre Jiorjios Moussa Kassis, MD
Student in an Organized Health Care Education/Training Program in Providence, RI. Individual provider (NPI-1).
NPI number1003662941
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1003662941
- Entity type
- Individual (NPI-1)
- Name
- Andre Jiorjios Moussa Kassis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2024
- Certification date
- Apr 29, 2024
- Last updated
- Apr 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | LP06210 | RI | Yes |
Practice location
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-4741 · Fax 401-444-4445
Mailing address
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-4741 · Fax 401-444-4445
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