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Individual

DR. RINCHEN-TZO EMGUSHOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
78 BAKER ST, PROVIDENCE, RI 02905-4417
(401) 781-2400
(401) 781-2687
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD08035
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007058086
MEDICARE
05
7003164
RI
Enumeration date
09/14/2005
Last updated
04/09/2024
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