Individual
PIETER STORM DE KLERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5891
(401) 444-8158
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD17152
RI
207RI0011X
Interventional Cardiology Physician
Primary
MD17152
RI
Other
Enumeration date
04/09/2017
Last updated
04/16/2024
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