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Individual

MARTA S SOWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6 BLACKSTONE VALLEY PLACE, SUITE 306B, LINCOLN, RI 02865
(401) 334-4021
Mailing address
6 BLACKSTONE VALLEY PLACE, SUITE 306B, LINCOLN, RI 02865
(401) 334-4021
(401) 334-4886

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
52825
MA
208000000X
Pediatrics Physician
Primary
MD6923
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7003409
RI
Enumeration date
11/22/2006
Last updated
07/08/2007
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