Individual
JONAH M LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HIGHLAND AVE, PROVIDENCE, RI 02906
(401) 277-9729
(401) 277-9730
Mailing address
100 HIGHLAND AVE, PROVIDENCE, RI 02906-2740
(401) 277-9729
(401) 277-9730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD12125
RI
207RN0300X
Nephrology Physician
Primary
MD12125
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134192
—
RI
Enumeration date
02/10/2006
Last updated
06/13/2025
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