Individual
CATHERINE ANNA BOUTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
222 STATION PLZ N STE 509, MINEOLA, NY 11501-3893
(516) 663-2381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
RI
Other
Enumeration date
04/26/2022
Last updated
06/22/2023
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