Individual
SIPSY MELISSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058
NHPRC
RI
01
—
6400144
UNITED
RI
01
—
99947
BCROSS
RI
01
—
OTHER
BCHIP
RI
Enumeration date
06/03/2010
Last updated
06/03/2010
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