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SELIM SUNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD09041
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03/01/2008
BCBS
RI
01
04/15/2009
UNITED HEALTH CARE
RI
01
11/12/2009
NHPRI
RI
01
12/29/2008
TUFTS HEALTH PLAN
MA
01
1962455022
UEMF GROUP NPI
RI
05
3186482
MA
05
7005436
RI
01
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
08/30/2006
Last updated
02/04/2010
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