Individual
DR. CHARLES TITA TITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 LUBEC ST, PROVIDENCE, RI 02904-1620
(401) 256-8833
Mailing address
104 LUBEC ST, PROVIDENCE, RI 02904-1620
(401) 256-8833
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301091444
MI
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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