Individual
MATTHEW DAVID ETHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1768
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD, SUITE 2000, WARWICK, RI 02886-1768
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP01168
RI
2085R0202X
Diagnostic Radiology Physician
254498
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD14120
RI
Other
Enumeration date
06/04/2007
Last updated
03/12/2019
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