Individual
ANTOINE SALLOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 VALLEY RD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
Mailing address
102 VALLEY RD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD19412
RI
207R00000X
Internal Medicine Physician
LP05421
RI
Other
Enumeration date
07/09/2021
Last updated
07/18/2023
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