Individual
ANTONIO BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 456-2121
Mailing address
670 BROAD ST, CENTRAL FALLS, RI 02863-2312
(401) 258-9278
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
08971
RI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
08971
RI
207R00000X
Internal Medicine Physician
08971
RI
Other
Enumeration date
10/17/2006
Last updated
02/23/2018
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