Individual
DR. SOMASUNDARAM PANNEERSELVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 HOWARD AVE, ELEANOR SLATOR HOSPITAL, CRANSTON, RI 02920-3001
(401) 462-3456
Mailing address
116 SAGAMORE RD, CRANSTON, RI 02920-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9593
RI
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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