Organization
OCEAN STATE OSTEOPATHIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHINA GIOVANIS D.O. (PHYSICIAN)
(401) 372-2949
Entity
Organization
Contact information
Practice address
154 WATERMAN ST UNIT 16, PROVIDENCE, RI 02906-3116
(401) 372-2949
Mailing address
154 WATERMAN ST UNIT 16, PROVIDENCE, RI 02906-3116
(401) 372-2949
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO00687
RI
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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