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Individual

CARL ATALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2302
(401) 456-2016
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2302
(401) 456-2016

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP06430
RI

Other

Enumeration date
08/06/2024
Last updated
08/06/2024
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