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Individual

DR. JOSEPH ISIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
295 S MAIN ST, PROVIDENCE, RI 02903-2910
(401) 831-2015
Mailing address
295 S MAIN ST, PROVIDENCE, RI 02903-2910
(401) 831-2015

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
3562-35
WI
152W00000X
Optometrist
Primary
ODTG00707
RI

Other

Enumeration date
06/17/2019
Last updated
11/03/2022
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