Individual
ELENA M KWETKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
191 MACARTHUR BLVD, COVENTRY, RI 02816-7244
(401) 828-5335
(401) 828-2914
Mailing address
9 RIDGEVALE CT, CRANSTON, RI 02921-1444
(401) 828-5335
(401) 828-3914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209812
MA
Other
Enumeration date
05/28/2006
Last updated
09/21/2011
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