Individual
DESPOINA MAVROMMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 WARREN AVE STE 400, EAST PROVIDENCE, RI 02914-1430
(401) 331-1221
Mailing address
10 DAVOL SQ STE 400, PROVIDENCE, RI 02903-4760
(401) 421-4000
(401) 272-7145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17210
RI
208M00000X
Hospitalist Physician
295405
MA
Other
Enumeration date
07/05/2017
Last updated
01/22/2025
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