Individual
THOMAS OLLILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-9375
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-9375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD14929
RI
207RH0003X
Hematology & Oncology Physician
Primary
MD14929
RI
Other
Enumeration date
05/24/2012
Last updated
06/21/2016
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