Individual
DELMA-JEAN WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6195
(401) 444-6378
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6195
(401) 444-6378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RI12076
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639194772
NPI
RI
05
—
JW62466
—
RI
01
—
MD12076
RI LICENSE
RI
Enumeration date
07/12/2006
Last updated
03/13/2008
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