Individual
DR. JEFFREY L CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 WELLS STREET, WESTERLY, RI 02891
(401) 596-0174
(401) 596-2266
Mailing address
46 WELLS STREET, WESTERLY, RI 02891
(401) 596-0174
(401) 596-2266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L7538
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225410
BLUE SHIELD
RI
05
—
9000244
—
RI
01
—
L7538
RI LICENSE
—
Enumeration date
08/15/2006
Last updated
10/04/2007
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