Individual
SA-ID ESFAHANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 QUAKER LN, WEST WARWICK, RI 02893-2179
(401) 828-7110
(401) 827-6364
Mailing address
207 QUAKER LN, WEST WARWICK, RI 02893-2179
(401) 828-7110
(401) 827-6364
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
016153
CT
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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