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Individual

JASON FERREIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
148 W RIVER ST STE 3, PROVIDENCE, RI 02904-2615
(401) 421-6306
(401) 453-0330
Mailing address
148 W RIVER ST STE 3, PROVIDENCE, RI 02904-2615
(401) 421-6306

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
17056
NH
207RG0100X
Gastroenterology Physician
Primary
MD13895
RI

Other

Enumeration date
06/19/2009
Last updated
10/02/2020
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