Individual
CATHERINE B PHAMDUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LP05390
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
06/24/2021
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