Individual
JUMANAH ALGAZAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP04172
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5999944
UNITEDHEALTH CARE
—
Enumeration date
10/19/2017
Last updated
06/16/2018
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