Individual
DR. CARLA ALEXIS DE VENECIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 921-9202
(401) 921-9212
Mailing address
125 METRO CENTER BLVD., SUITE 2000, WARWICK, RI 02886-1785
(401) 921-9202
(603) 668-0164
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16998
NH
2085R0202X
Diagnostic Radiology Physician
285931
MA
2085R0202X
Diagnostic Radiology Physician
MD17272
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2012
Last updated
12/22/2020
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