Individual
DR. NINA JI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2125
(401) 456-2049
Mailing address
PO BOX 6064, PROVIDENCE, RI 02904
(401) 456-2125
(401) 456-2049
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA07834200
NJ
207L00000X
Anesthesiology Physician
Primary
MD11627
RI
Other
Enumeration date
02/20/2006
Last updated
01/12/2023
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