Individual
DR. MARIEPET TABANAS ASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2894
(401) 793-4579
(401) 793-7866
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
222921
MA
208800000X
Urology Physician
Primary
MD19353
RI
Other
Enumeration date
05/22/2007
Last updated
01/29/2024
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