Individual
EMAD ROSHDY BASSALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 MENDON RD, SUITE 203, CUMBERLAND, RI 02864-4337
(401) 333-6100
(401) 333-6109
Mailing address
197 CHURCH POND DRIVE, TIVERTON, RI 02878
(401) 624-1997
(401) 624-7920
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
46332
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD10521
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138967
—
MA
05
—
110003241A
—
MA
Enumeration date
09/27/2006
Last updated
04/27/2015
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