Individual
OMER CERMIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 273-8100
(401) 861-8696
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10213
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007059462
MEDICARE ID-TYPE UNSPECIFIED
RI
01
—
15-26435
UBH
RI
01
—
22129-8
BLUE CROSS
RI
01
—
406989
BLUE CHIP
RI
05
—
7007566
—
RI
Enumeration date
08/01/2006
Last updated
03/12/2025
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