SPIRO ODYSSEAS KOUSTAS

PROVIDENCE, RI
NPI1447981592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  CLP05675)
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
SPIRO ODYSSEAS KOUSTAS MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5180
Mailing Address
SPIRO ODYSSEAS KOUSTAS MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number:
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