Individual
ANITA KNOPOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6489
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6489
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LP04699
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP04699
—
RI
Enumeration date
06/05/2019
Last updated
06/05/2019
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