Individual
ESTHER J. ENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 BREWSTER ST, DEPARTMENT OF PEDIATRICS, PAWTUCKET, RI 02860-4400
(401) 729-6200
(401) 729-6203
Mailing address
111 BREWSTER ST, DEPARTMENT OF PEDIATRICS, PAWTUCKET, RI 02860-4400
(401) 729-6200
(401) 729-6203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD05544
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006299
—
RI
Enumeration date
11/23/2005
Last updated
07/09/2007
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