Individual
JANET R. ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 415-9500
(401) 415-9515
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 780-2511
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
230283
MA
207Q00000X
Family Medicine Physician
MD112761
MO
207Q00000X
Family Medicine Physician
Primary
MD17774
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208933003
—
MO
Enumeration date
07/26/2006
Last updated
01/12/2024
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