Individual
JESSE LUKE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
593 EDDY ST, APC 12, PROVIDENCE, RI 02903-4923
(401) 444-5151
(401) 444-8514
Mailing address
117 ELLENFIELD ST, SUITE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DO00766
RI
Other
Enumeration date
07/13/2007
Last updated
10/29/2015
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