Individual
KRISTINA SURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 457-3336
(401) 525-2549
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 457-3336
(401) 525-2549
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP06601
RI
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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