Individual
DR. MATTHEW DMITRI JANKOWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
55 MODENA AVE, PROVIDENCE, RI 02908-2012
(401) 714-4894
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
214099
MA
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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