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Individual

OLPHABINE ATHOURISTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 469-4100
Mailing address
234 SOUTH LEVAN ST, APT L, ALLENTOWN, PA 18102

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB09620600
NJ
207Q00000X
Family Medicine Physician
Primary
OT012547
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0481556
NJ
Enumeration date
12/03/2008
Last updated
01/08/2026
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