Individual
MICHELLE S ANVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL, SUITE 301, RIVERSIDE, RI 02915-2232
(401) 649-4050
(401) 649-4051
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
(401) 443-4992
(401) 784-4902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10948
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110245776
RAILROAD
RI
05
—
9022627
—
RI
Enumeration date
05/20/2006
Last updated
09/09/2016
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