Individual
THAER SAQER MUSTAFA ABDELFATTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 456-6510
(401) 456-6852
Mailing address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 456-6510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57027521
OH
207RG0100X
Gastroenterology Physician
Primary
MD19125
RI
Other
Enumeration date
08/31/2016
Last updated
10/03/2023
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