Individual
EZEQUIEL NEIMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8306
(401) 444-8748
Mailing address
593 EDDY STREET, MPH - 131, PROVIDENCE, RI 02903
(401) 444-6484
(401) 444-6378
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
11715
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EN58363
—
RI
Enumeration date
05/22/2006
Last updated
09/12/2013
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