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Organization

LINDA J. HANNA-TRAD, M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LINDA JANE HANNA-TRAD M.D. (PRESIDENT)
(401) 556-1533
Entity
Organization

Contact information

Practice address
185A HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5114
(401) 556-1533
Mailing address
185A HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5114
(401) 556-1533

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09017
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007006522
MEDICARE
RI
01
009017
TUFTS
RI
01
0401886
UNITED HEALTH
RI
01
4186
NEIGHBORHOOD HEALTH
RI
05
7004900
RI
Enumeration date
03/31/2016
Last updated
03/31/2016
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