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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