Individual
TIWADAYO CECILIA SAM-ODUSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1122
(401) 453-7571
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
MD21092
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
08/07/2020
Last updated
05/04/2026
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