Organization
FAMILY INTERNAL MEDICINE INC
Active
Other names
Bassam Khabbaz MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE KHABBAZ (OFFICE MANAGER)
(401) 333-3445
Entity
Organization
Contact information
Practice address
2295 DIAMOND HILL RD, CUMBERLAND, RI 02864
(401) 333-3445
(401) 333-3465
Mailing address
2295 DIAMOND HILL RD, CUMBERLAND, RI 02864
(401) 333-3445
(401) 333-3465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10573
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310521
BLUE CROSS
RI
05
—
9004563
—
RI
Enumeration date
08/10/2006
Last updated
10/14/2014
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