Individual
DIMITRI PHILIPPE ARCHER GERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-4489
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19784
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2020
Last updated
04/26/2024
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