Individual
MELVIN MADAMPIL PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 MEMORIAL BLVD, NEWPORT, RI 02840-3636
(401) 606-4510
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17171
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2016
Last updated
07/24/2020
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