Individual
TIWADAYO CECILIA SAM-ODUSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4471
(401) 444-7574
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
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
06/02/2026
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