Individual
OLIVIA ROSSE AVIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(914) 391-4740
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20187
RI
390200000X
Student in an Organized Health Care Education/Training Program
LP05350
RI
Other
Enumeration date
06/03/2021
Last updated
08/05/2025
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