Individual
DR. CHRISTINA BANDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
146 W RIVER ST FL 3, PROVIDENCE, RI 02904-2609
(401) 793-7917
(401) 793-7801
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
38024
AZ
207VX0201X
Gynecologic Oncology Physician
Primary
MD11708
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313268
—
AZ
01
—
86080015085054 C001
TRICARE
AZ
01
—
P00623760
RAILROAD MEDICARE
AZ
Enumeration date
06/14/2006
Last updated
06/28/2018
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