Individual
PAUL DIONISOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1637 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4042
(401) 353-1012
(401) 353-6362
Mailing address
1637 MINERAL SPRING AVE, SUITE 115, NORTH PROVIDENCE, RI 02904-4042
(401) 353-1012
(401) 353-6362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10188
RI
207R00000X
Internal Medicine Physician
RI10188
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410540001
DME
RI
Enumeration date
05/18/2006
Last updated
09/08/2014
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