Individual
VICENTA HUDZIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3762
(401) 444-8879
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LP04298
RI
2084P0800X
Psychiatry Physician
LP04298
RI
2084P0804X
Child & Adolescent Psychiatry Physician
LP04298
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD19344
RI
Other
Enumeration date
06/02/2018
Last updated
07/03/2023
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