Individual
DR. MOUHANAD M EL OTHMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 WELLS ST STE 1, WESTERLY, RI 02891-2998
(401) 457-1500
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
315439
NY
207X00000X
Orthopaedic Surgery Physician
Primary
MD19331
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
07/18/2023
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