EDWARD MEDEIROS

PROVIDENCE, RI
NPI1144616715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: RI  DO00920)
Enumeration Date2015-04-10
Last Update Date2020-05-15
Business Address
EDWARD MEDEIROS DO
1076 N MAIN ST
PROVIDENCE, RI 02904-5760
Phone number: 401-861-7711
Mailing Address
EDWARD MEDEIROS DO
1076 N MAIN ST
PROVIDENCE, RI 02904-5760
Phone number: 401-861-7711