Organization
HASSAN-ETTENSOHN MEDICAL SPECIALISTS, LTD
Active
Other names
Hassan-Ettensohn Medical Specialists, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRUCE ETTENSOHN MD (VICE PRESIDENT)
(401) 724-4040
Entity
Organization
Contact information
Practice address
73 BEECHWOOD AVE, PAWTUCKET, RI 02860-5409
(401) 724-4040
(401) 722-9575
Mailing address
73 BEECHWOOD AVE, PAWTUCKET, RI 02860-5409
(401) 724-4040
(401) 722-9575
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
6164
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
9817
RI
207RH0003X
Hematology & Oncology Physician
6245
RI
207RP1001X
Pulmonary Disease Physician
6164
RI
207RP1001X
Pulmonary Disease Physician
Primary
9817
RI
Other
Enumeration date
05/02/2007
Last updated
07/06/2010
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