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1497911101
SIRACH SELASSIE
PROVIDENCE, RI
NPI
1497911101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI MD14580)
Enumeration Date
2008-08-01
Last Update Date
2022-07-21
Business Address
Dr. SIRACH SELASSIE M.D.
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
Dr. SIRACH SELASSIE M.D.
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-9375
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