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Individual

MICHAEL D STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
375 WAMPANOAG TRL, SUITE 301, RIVERSIDE, RI 02915-2232
(401) 649-4050
(401) 649-4051
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
(401) 443-4992
(401) 784-4902

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
160428
MA
207R00000X
Internal Medicine Physician
Primary
MD07323
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110234606
RAILROAD
RI
05
9006420
RI
Enumeration date
05/31/2006
Last updated
09/12/2016
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