Individual
DR. SUSAN L DIMASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
203 GOVERNOR ST, PROVIDENCE, RI 02906-3221
(401) 455-0846
(401) 455-0869
Mailing address
203 GOVERNOR ST, PROVIDENCE, RI 02906-3221
(401) 455-0846
(401) 455-0869
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD4899
RI
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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