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Individual

ASHA BANSARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 729-2221
(401) 729-2202
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 729-2221
(401) 729-2202

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP02125
RI
207R00000X
Internal Medicine Physician
Primary
ME120197
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012115100
FL
Enumeration date
07/12/2011
Last updated
07/31/2014
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