Individual
SUSAN CU UVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 N MAIN ST, PROVIDENCE, RI 02904-5739
(401) 793-2928
Mailing address
180 CORLISS ST STE E2, PROVIDENCE, RI 02904-2602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD08721
RI
207RI0200X
Infectious Disease Physician
MD08721
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005235
—
RI
Enumeration date
05/23/2006
Last updated
12/03/2019
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