Individual
SHELDON D. E. MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905
(401) 444-0570
(401) 444-0427
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
254236
MA
207Q00000X
Family Medicine Physician
Primary
DO00835
RI
Other
Enumeration date
06/29/2009
Last updated
05/07/2019
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