Individual provider · NPI-1

Angela Anderson, MD

Pediatrics, Hospice and Palliative Medicine · Providence, RI

NPI number1649294562
StatusActive
Last updated in NPPESMar 16, 2016

Details

NPI
1649294562
Entity type
Individual (NPI-1)
Name
Angela Anderson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 26, 2006
Last updated
Mar 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080H0002X Pediatrics, Hospice and Palliative MedicineMD07795RIYes
208000000X PediatricsMD07795RI

Practice location

593 Eddy St
Providence, RI 02903-4923

Phone 401-444-7396 · Fax 401-444-7399

Mailing address

593 Eddy St
Hasbro 122
Providence, RI 02903-4923

Phone 401-444-6484 · Fax 401-444-6378

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