Individual
VANIA KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8306
(401) 444-8748
Mailing address
117 ELLENFIELD ST, STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD13887
RI
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD13887
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD13887
LICENSE
RI
Enumeration date
08/18/2011
Last updated
11/26/2018
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