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Individual

DR. HASAN D TAVAKOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DA

Contact information

Practice address
116 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 02896-7327
(401) 766-0800
(401) 765-5904
Mailing address
116 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 02896-7327
(401) 766-0800
(401) 765-5904

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
388
MA
171100000X
Acupuncturist
Primary
DA00050
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003
CIGNA
RI
01
22033-0
BLUE CROSS OF RHODE ISLAN
RI
01
406785
BLUE CHIP
RI
01
611262
UNITED HEALTH
RI
01
Q00403
BLUE CROSS OF MA
MA
Enumeration date
01/25/2007
Last updated
07/08/2007
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