Individual
SUSAN H HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 ELMWOOD AVE, PROVIDENCE, RI 02907-2423
(401) 275-5039
Mailing address
393 MONTGOMERY AVE, PROVIDENCE, RI 02905-1326
(401) 300-5757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD10734
RI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD10734
RI
Other
Enumeration date
07/11/2006
Last updated
09/06/2025
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