Individual
MR. BASIT ABDUL JAWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY STREET, APC MAIN, PROVIDENCE, RI 02903-4923
(401) 444-5435
(401) 444-8301
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1016165
MA
207Y00000X
Otolaryngology Physician
Primary
MD19445
RI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD19445
RI
Other
Enumeration date
03/23/2016
Last updated
08/24/2023
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