Individual
ANGELA TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
164 SUMMIT AVE., PROVIDENCE, RI 02906
(401) 793-2920
(401) 793-2859
Mailing address
P.O. BOX 3915, BOSTON, MA 02241-3915
(401) 793-4634
(401) 793-4639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD12200
RI
207RH0000X
Hematology (Internal Medicine) Physician
MD12200
RI
207RH0003X
Hematology & Oncology Physician
Primary
80010
CT
207RH0003X
Hematology & Oncology Physician
MD12200
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP75968
—
RI
Enumeration date
04/19/2007
Last updated
02/19/2025
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