Individual
DR. ETHAN H KISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 LAMBERT LIND HWY, 120-100, WARWICK, RI 02886-1131
(401) 681-4274
(401) 681-4285
Mailing address
75 LAMBERT LIND HWY, 120-100, WARWICK, RI 02886-1131
(401) 681-4274
(401) 681-4285
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10208
RI
Other
Enumeration date
03/08/2006
Last updated
06/12/2013
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