Individual
DR. SIRACH SELASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-9375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14580
RI
Other
Enumeration date
08/01/2008
Last updated
07/21/2022
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