Individual provider · NPI-1

Dr. Samantha Lynn Ahle, M.D.

Surgery, Pediatric Surgery · Providence, RI

NPI number1649682956
StatusActive
Last updated in NPPESFeb 13, 2023

Details

NPI
1649682956
Entity type
Individual (NPI-1)
Name
Dr. Samantha Lynn Ahle
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2014
Certification date
Feb 13, 2023
Last updated
Feb 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0120X Surgery, Pediatric SurgeryMDRIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2 Dudley St Ste 190
Providence, RI 02905-3248

Phone 401-421-1939 · Fax 401-868-2319

Mailing address

Po Box 16149
Rumford, RI 02916-0697

Phone 401-453-9625 · Fax 401-435-7069

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