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Individual

DR. VAMSY SIVA BOBBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
(401) 457-1500
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301117221
MI
207X00000X
Orthopaedic Surgery Physician
69617
MN
207X00000X
Orthopaedic Surgery Physician
Primary
MD17114
RI

Other

Enumeration date
04/01/2015
Last updated
11/29/2022
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