Individual
LINDA B SHALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, LOWER LEVEL, PROVIDENCE, RI 02903-4923
(401) 444-8306
(401) 444-8748
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6484
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
08258
RI
2080P0206X
Pediatric Gastroenterology Physician
223274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004268
—
RI
Enumeration date
05/24/2006
Last updated
04/23/2014
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