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NOCIF ESPAT

Surgery Physician

NPI: 1225041361IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgery PhysicianPrimary

Surgery

Code: 208600000X

MD12407(RI)

CMS Specialties

Additional

GENERAL SURGERY

Education

UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE

Class of 1990

Contact & Hours

Address
50 MAUDE ST, 2ND FLOOR
PROVIDENCE, RI 02908

Quick Facts

NPI
1225041361
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
36

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