Individual
DIANE E MINASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 BULLOCKS POINT AVE, RIVERSIDE, RI 02915-5351
(401) 437-1008
(401) 433-3042
Mailing address
100 BULLOCKS POINT AVE, RIVERSIDE, RI 02915-5351
(401) 437-1008
(401) 433-3042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08367
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411803
UGS
RI
01
—
411813
UGS
RI
01
—
411833
UGS
RI
Enumeration date
01/09/2007
Last updated
07/08/2007
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