Individual
NANCY J BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 SCHOOL ST, SUITE 216, PAWTUCKET, RI 02860-5334
(401) 728-6990
(401) 729-0930
Mailing address
333 SCHOOL ST, SUITE 216, PAWTUCKET, RI 02860-5334
(401) 728-6990
(401) 729-0930
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD09795
RI
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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