Individual
MARY ELLEN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4083
(401) 444-3056
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4083
(401) 444-3056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP01243
RI
Other
Enumeration date
06/19/2007
Last updated
01/22/2010
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