Individual
AGNIESZKA EWA JANICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7442
(401) 444-7018
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7442
(401) 444-7018
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD14699
RI
Other
Enumeration date
06/29/2010
Last updated
06/15/2016
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