Individual
CAMILA SOUZA ALVES COSMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSC, PHD
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(617) 414-4536
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
CLP04614
RI
2084P0800X
Psychiatry Physician
Primary
MD18909
RI
Other
Enumeration date
07/24/2018
Last updated
07/19/2023
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