Individual
DAVID ARTHUR SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BROAD ST, NOTRE DAME AMBULATORY CENTER, CENTRAL FALLS, RI 02863-1507
(401) 726-1800
(401) 727-3556
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-3481
(401) 729-3866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10401
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070570331
MEDICARE PTAN
RI
05
—
7008639
—
RI
Enumeration date
12/09/2005
Last updated
08/24/2010
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