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Individual

DR. NIKOLAOS SISMANOPOULOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-3985
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD16384
RI

Other

Enumeration date
07/13/2012
Last updated
11/15/2018
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