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DAVID LINDQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10973
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04/15/2009
UNITED HEALTHCARE
RI
01
12/14/2006
NHPRI
RI
01
12/29/2008
TUFTS HEALTH PLAN
MA
01
1710991435
NPI
RI
05
2009358
MA
01
410550
BCBSRI
RI
05
7010567
RI
01
939025129
RI MEDICARE GROUP NUMBER
RI
01
P00048522
RAILROAD MEDICARE
Enumeration date
07/28/2006
Last updated
02/16/2010
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