Individual
THOMAS FRANCIS BLISS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BUTLER DR, PROVIDENCE, RI 02906-4862
(401) 330-1455
(401) 330-1456
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 330-1455
(401) 330-1456
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04203
RI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
RI4203
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002079/ES00776
—
IN
Enumeration date
06/08/2005
Last updated
12/05/2012
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