Individual
MARIAH STUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4020
(401) 649-4021
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(833) 924-5546
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
MD14956
RI
207R00000X
Internal Medicine Physician
Primary
MD14956
RI
Other
Enumeration date
05/24/2012
Last updated
09/13/2024
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