YAZAN AL-FANEK

PROVIDENCE, RI
NPI1598261422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: RI  MD17939)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-31
Last Update Date2021-09-24
Business Address
YAZAN AL-FANEK MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 501-366-4918
Mailing Address
YAZAN AL-FANEK MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 501-366-4918