Individual
ERICA SZABADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 RESERVOIR AVE, SUITE 308, CRANSTON, RI 02910-4448
(401) 944-9559
(401) 944-7501
Mailing address
725 RESERVOIR AVE, SUITE 308, CRANSTON, RI 02910-4448
(401) 944-9559
(401) 944-7501
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
LP00263
RI
2084N0600X
Clinical Neurophysiology Physician
Primary
MD12669
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007060533
MEDICARE PTAN
RI
05
—
ES72406
—
RI
Enumeration date
04/19/2007
Last updated
07/14/2011
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