Individual
DR. FRANSISCA INDRASWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-4489
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
MD17464
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2017
Last updated
07/26/2022
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