Individual
DR. SAMUEL KAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 MAIN ST, EAST GREENWICH, RI 02818-3116
(401) 884-5333
(401) 884-5664
Mailing address
925 MAIN ST, EAST GREENWICH, RI 02818-3116
(401) 884-5333
(401) 884-5664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8504
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SK01749
—
RI
Enumeration date
12/16/2005
Last updated
11/13/2012
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