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Individual

JOHN FLANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5090
Mailing address
ONE VIRGINIA AVENUE, SUITE 201, PROVIDENCE, RI 02905
(401) 490-0916
(401) 490-0979

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10594
RI
207L00000X
Anesthesiology Physician
Primary
MD10594
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33545
RI BCBS
RI
01
408351
BLUE CHIP
RI
05
9022436
RI
Enumeration date
05/01/2006
Last updated
10/21/2013
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