Individual
DR. ALLYSON D. HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 TOLL GATE RD, SUITE 104, WARWICK, RI 02886-4458
(401) 737-9240
(401) 739-6413
Mailing address
215 TOLL GATE RD, SUITE 104, WARWICK, RI 02886-4458
(401) 737-9240
(401) 739-6413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
08394MD
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AH01324
—
RI
Enumeration date
01/03/2007
Last updated
07/08/2007
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