Individual
RENA B MATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 HOWARD AVE, CRANSTON, RI 02920-3001
(401) 462-3456
Mailing address
111 HOWARD AVE, CRANSTON, RI 02920-3001
(401) 462-3456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD06278
RI
Other
Enumeration date
08/30/2006
Last updated
02/10/2012
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