Individual
JORDAN BENJAMIN RAHEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2140 MENDON RD, CUMBERLAND, RI 02864-3843
(401) 642-2072
Mailing address
12 CHRISTOPHER DR, LINCOLN, RI 02865-4945
(401) 257-9069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001176
RI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/08/2019
Last updated
09/04/2019
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