Individual
DR. SAMANTHA LYNN AHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 DUDLEY ST STE 190, PROVIDENCE, RI 02905-3248
(401) 421-1939
(401) 868-2319
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2014
Last updated
02/13/2023
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