Georges Abi Roustom, MD
Anesthesiology in Providence, RI. Individual provider (NPI-1).
NPI number1548871908
StatusActive
Last updated in NPPESJan 26, 2026
Details
- NPI
- 1548871908
- Entity type
- Individual (NPI-1)
- Name
- Georges Abi Roustom
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2020
- Certification date
- Jan 26, 2026
- Last updated
- Jan 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | MD20454 | RI | Yes |
Practice location
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-5172 · Fax 401-444-5090
Mailing address
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-5172 · Fax 401-444-5090
Other practice locations
101 Dudley St
Providence, RI 02905-2401
Providence, RI 02905-2401
Phone 401-274-1122
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