Individual
DR. THADDEUS CHRISTIAN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8809
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT222400
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP05509
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103929256
—
PA
Enumeration date
04/29/2021
Last updated
06/02/2022
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