Individual
DEUS CIELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 CLAVERICK ST, SUITE 100, PROVIDENCE, RI 02903-4144
(401) 490-4130
(401) 455-1292
Mailing address
PO BOX 845384, BOSTON, MA 02284-5384
(401) 455-1749
(401) 455-1292
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD10148
RI
Other
Enumeration date
05/12/2006
Last updated
12/10/2007
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