Individual
JILL ALISON O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-2104
(401) 793-4741
Mailing address
164 SUMMIT AVENUE, PROVIDENCE, RI 02906
(401) 793-2104
(401) 793-4741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP01180
RI
207R00000X
Internal Medicine Physician
Primary
MD13193
RI
Other
Enumeration date
06/04/2007
Last updated
03/15/2012
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