Individual
ATHENA POPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 DUDLEY ST, SUITE 360, PROVIDENCE, RI 02905-3236
(401) 453-6764
(401) 444-3327
Mailing address
2 DUDLEY ST, SUITE 360, PROVIDENCE, RI 02905-3236
(401) 453-6764
(401) 444-3327
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD09303
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9025214
—
RI
Enumeration date
07/17/2006
Last updated
07/08/2007
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