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Organization

EAST SIDE ORTHOPAEDICS, INC

Active
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Organization

EAST SIDE ORTHOPAEDICS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS FRANCIS BLISS M.D. (PRESIDENT)
(401) 831-4110
Entity
Organization

Contact information

Practice address
124 WATERMAN ST, 2ND FLOOR, PROVIDENCE, RI 02906-2052
(401) 831-4110
(401) 831-2305
Mailing address
124 WATERMAN ST, 2ND FLOOR, PROVIDENCE, RI 02906-2052
(401) 831-4110
(401) 831-2305

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
4203
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7002079
RI
05
ES00776
RI
Enumeration date
05/08/2007
Last updated
08/22/2020
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