Individual
LESLIE CHAMBERLAIN MOHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 253-8900
(401) 253-3131
Mailing address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 253-8900
(401) 253-3131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 11472
RI
208000000X
Pediatrics Physician
MD 11472
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000027854
B/C
RI
01
—
30177
NEIGHBORHOOD HEALTH
RI
01
—
411956
BCHIP
RI
01
—
469658
TUFTS HEALTH PLAN
RI
05
—
9003583
—
RI
01
—
AA13616
HARVARD PILGRIM HEALTH
RI
Enumeration date
08/02/2005
Last updated
04/18/2008
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