Individual
TICIANA PAES BATISTA DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
27 TANGLEWOOD RD, NEWTON, MA 02459-2849
(617) 784-6190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP06331
RI
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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