Individual
DR. JOHN URBAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 DUDLEY ST, SUITE 204, PROVIDENCE, RI 02905-2436
(401) 421-7486
(401) 421-4150
Mailing address
120 DUDLEY ST, SUITE 204, PROVIDENCE, RI 02905-2436
(401) 421-7486
(401) 421-4150
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD04558
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001617
—
RI
Enumeration date
11/16/2005
Last updated
07/08/2007
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