Individual
PAMELA QUITERIA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 CASS AVE FL 3, WOONSOCKET, RI 02895-4731
(401) 769-4100
Mailing address
115 CASS AVE FL 3, WOONSOCKET, RI 02895-4731
(401) 769-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP06411
RI
390200000X
Student in an Organized Health Care Education/Training Program
MT229219
PA
Other
Enumeration date
07/11/2023
Last updated
06/21/2024
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