Individual
JOHN A STOUKIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1018 WATERMAN AVE, EAST PROVIDENCE, RI 02914
(401) 231-0450
(401) 233-2387
Mailing address
1018 WATERMAN AVE, EAST PROVIDENCE, RI 02914
(401) 231-0450
(401) 233-2387
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD07851
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001413
—
RI
Enumeration date
07/07/2005
Last updated
01/15/2019
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