Individual
ETHAN PAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1591 CRANSTON ST, CRANSTON, RI 02920-5141
(339) 364-0511
Mailing address
1591 CRANSTON ST, CRANSTON, RI 02920-5141
(339) 364-0511
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00371
RI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2019
Last updated
07/27/2023
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