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Individual

SARA REGAN FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 HOPPIN ST, CORO CENTER SUITE 304, PROVIDENCE, RI 02903-4141
(401) 444-4612
(401) 793-8831
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6484
(401) 444-6378

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
223230
MA
2080P0202X
Pediatric Cardiology Physician
Primary
MD11479
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SR54274
RI
Enumeration date
02/02/2006
Last updated
02/04/2008
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