Individual
DONNA O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 DUDLEY ST, SUITE 104, PROVIDENCE, RI 02905-2436
(401) 274-4464
Mailing address
120 DUDLEY ST, SUITE 104, PROVIDENCE, RI 02905-2436
(401) 274-4464
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
MD07280
RI
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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