Individual
CONSTANTINE VAFIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1524 ATWOOD AVE STE 225, JOHNSTON, RI 02919-3228
(401) 272-5468
(401) 272-7863
Mailing address
684 WARREN AVE, EAST PROVIDENCE, RI 02914-1405
(401) 272-5468
(401) 272-7863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13740
RI
Other
Enumeration date
07/28/2009
Last updated
05/25/2016
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