Individual
SAMUEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CLP06659
RI
Other
Enumeration date
04/04/2025
Last updated
06/27/2025
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