Organization
FAMILY INTERNAL MEDICINE INC
Active
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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