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Organization

EAST SIDE PSYCHIATRIC ASSOCIATES, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL CHRISTOPHER M.D. (PRESIDENT)
(401) 680-4101
Entity
Organization

Contact information

Practice address
295 ANGELL ST STE 5, PROVIDENCE, RI 02906-2119
(401) 860-4101
Mailing address
295 ANGELL ST STE 5, PROVIDENCE, RI 02906-2119

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12771
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1881756500
BLUE CROSS AND BLUE CHIP
RI
Enumeration date
01/14/2015
Last updated
01/14/2015
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