Individual provider · NPI-1

Stephanie Jean Arditte, DO

Family Medicine · Pawtucket, RI

NPI number1871280412
StatusActive
Last updated in NPPESJul 17, 2024

Details

NPI
1871280412
Entity type
Individual (NPI-1)
Name
Stephanie Jean Arditte
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2023
Certification date
Jul 17, 2024
Last updated
Jul 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineLP06047RIYes

Practice location

111 Brewster St
Pawtucket, RI 02860-4400

Phone 401-729-2206 · Fax 401-921-6962

Mailing address

111 Brewster St
Pawtucket, RI 02860-4400

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