Individual
ANUSHA VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8450
(401) 444-5088
Mailing address
61 DAVIS AVE, SUITE 1, NEPTUNE, NJ 07753
(732) 776-4271
(732) 776-4867
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LP01404
RI
Other
Enumeration date
06/26/2008
Last updated
05/15/2017
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