Individual
JENNY HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-4286
(401) 444-5090
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD19225
RI
Other
Enumeration date
03/20/2019
Last updated
07/13/2023
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