Individual
ALISSE K HAUSPURG-JANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 PLAIN ST FL 6, PROVIDENCE, RI 02903-4829
(401) 274-1122
(401) 453-7622
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 273-0641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD19760
RI
207VM0101X
Maternal & Fetal Medicine Physician
1020240
MA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD19760
RI
Other
Enumeration date
06/20/2012
Last updated
05/31/2024
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