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Individual

JORGE EUSEBIO ALBINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, NAB 2, PROVIDENCE, RI 02903-4923
(401) 444-4296
(401) 421-7721
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD06274
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9006214
RI
Enumeration date
06/21/2005
Last updated
01/29/2020
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