Individual
DR. JARED SEARS SUPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4247
Mailing address
55 CROMWELL ST APT 303, PROVIDENCE, RI 02907-2567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
291805
MA
207P00000X
Emergency Medicine Physician
LP04287
RI
Other
Enumeration date
05/31/2018
Last updated
07/27/2022
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