Individual
MISS ANNA C TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4546
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
292010
MA
207P00000X
Emergency Medicine Physician
Primary
MD19212
RI
Other
Enumeration date
03/27/2019
Last updated
03/05/2025
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