Individual
ANGELA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7396
(401) 444-7399
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6484
(401) 444-6378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD07795
RI
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
MD07795
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD07795
LICENSE
RI
Enumeration date
07/26/2006
Last updated
03/16/2016
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