Individual
JOSEPH MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8805
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
CLP05922
RI
390200000X
Student in an Organized Health Care Education/Training Program
CLP05922
RI
Other
Enumeration date
05/08/2023
Last updated
06/23/2023
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