Individual
DR. CASIMIRA CARLOS STA INES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1526 ATWOOD AVE, SUITE 100, JOHNSTON, RI 02919-3289
(401) 273-9400
Mailing address
17 MICHELLE CIR, WARWICK, RI 02886-8592
(401) 884-3942
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD05965
RI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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