Individual provider · NPI-1

Marie Michelle Abejuela, MD

Internal Medicine · Providence, RI

NPI number1326229501
StatusActive
Last updated in NPPESNov 16, 2007

Details

NPI
1326229501
Entity type
Individual (NPI-1)
Name
Marie Michelle Abejuela
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 16, 2007
Last updated
Nov 16, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD12531RIYes

Practice location

21 Peace St
Providence, RI 02907-1510

Phone 401-456-3000 · Fax 401-456-3762

Mailing address

200 High Service Ave
4th Fl Marion Hall
N Providence, RI 02904-5113

Phone 401-456-3309 · Fax 401-456-3762

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