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Individual

RICHA TANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
50 MAUDE ST, 2ND FLOOR, PROVIDENCE, RI 02908-4325
(401) 456-2371
(401) 456-6839
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
(617) 414-5405

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
231180
MA
207RI0200X
Infectious Disease Physician
231180
MA
207RI0200X
Infectious Disease Physician
Primary
MD14352
RI

Other

Enumeration date
04/03/2007
Last updated
11/07/2013
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