Individual
DR. ALISON RIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4471
(401) 444-2768
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4471
(401) 444-2768
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD13980
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093024A
—
MA
01
—
1255560694
TUFTS
RI
05
—
AR89617
—
RI
Enumeration date
07/07/2009
Last updated
10/16/2012
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