Individual
SUSAN ELIZABETH TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 CALLAHAN RD, NORTH KINGSTOWN, RI 02852-7739
(401) 295-9706
(401) 295-0920
Mailing address
41 CODDINGTON WAY, WAKEFIELD, RI 02879-6341
(401) 789-9911
(401) 789-3106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7292
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7292
LICENSE NUMBER
RI
Enumeration date
08/22/2005
Last updated
08/03/2010
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