Individual
GEETIKA TEWARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-2104
Mailing address
PO BOX 3238, BOSTON, MA 02241-3238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14013
RI
Other
Enumeration date
07/25/2009
Last updated
02/28/2013
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