Individual
ANGIE SEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4741
(401) 444-4445
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4741
(401) 444-4445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04051
RI
207R00000X
Internal Medicine Physician
MD17016
RI
207RC0000X
Cardiovascular Disease Physician
Primary
336317
NY
Other
Enumeration date
06/07/2017
Last updated
05/07/2025
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