Individual
SELINA HELEN IMBOYWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25514
NH
207R00000X
Internal Medicine Physician
Primary
MD19343
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
04/21/2026
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