NICKLAS B OLDENBURG

PROVIDENCE, RI
NPI1801899760
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: RI  MD10931)
Additional Taxonomies2085R0001X 
(Licence: MA  205005)
Enumeration Date2005-05-24
Last Update Date2026-03-10
Business Address
Dr. NICKLAS B OLDENBURG M.D.
825 N MAIN ST
PROVIDENCE, RI 02904-5707
Phone number: 401-521-9700
Mailing Address
Dr. NICKLAS B OLDENBURG M.D.
825 N MAIN ST
PROVIDENCE, RI 02904-5767
Phone number: 401-521-9700
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