Individual
MADELINE JONES CANCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 VETERANS MEMORIAL PKWY BLDG 14, EAST PROVIDENCE, RI 02914-5300
(401) 453-6600
(401) 435-6694
Mailing address
75 NEWMAN AVE STE 100, RUMFORD, RI 02916-3603
(401) 854-2428
(401) 868-2385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LP02715
RI
208800000X
Urology Physician
079693
GA
208800000X
Urology Physician
LP02715
RI
208800000X
Urology Physician
Primary
MD16744
RI
Other
Enumeration date
05/28/2013
Last updated
11/11/2019
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