Individual
DR. MICHAEL C SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1275 WAMPANOAG TRL, RIVERSIDE, RI 02915-1217
(401) 437-0120
(401) 424-4155
Mailing address
1275 WAMPANOAG TRL, RIVERSIDE, RI 02915-1217
(401) 437-0120
(401) 424-4155
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
00446
RI
207Q00000X
Family Medicine Physician
Primary
00446
RI
Other
Enumeration date
02/14/2006
Last updated
08/10/2023
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