Organization
SUDHIR BANSAL, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN M MORENCY (OFFICE MANAGER)
(401) 732-6828
Entity
Organization
Contact information
Practice address
215 TOLL GATE RD, SUITE 309/310, WARWICK, RI 02886-4458
(401) 732-6828
(401) 223-3040
Mailing address
215 TOLL GATE RD, SUITE 309/310, WARWICK, RI 02886-4458
(401) 732-6828
(401) 223-3040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RI6157
RI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
RI7603
RI
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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