Ethan H Kisch M.D.

NPI 1063480002 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063480002
Gender Male
Enumeration Date 03/08/2006
Last Updated 06/12/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
75 LAMBERT LIND HWY
120-100
WARWICK RI, 02886-1131, US
Phone (401) 681-4274
Fax (401) 681-4285
Business Location
75 LAMBERT LIND HWY
120-100
WARWICK RI, 02886-1131, US
Phone (401) 681-4274
Fax (401) 681-4285
Toxanomy
Taxonomy Code 2084P0800X
License State Rhode Island
License Number MD10208
Remove 1063480002 NPI Number
 

According to our database, Dr. Ethan H Kisch M.D. NPI is 1063480002, taxonomy code is 2084P0800X and license number is MD10208, license state is located at Rhode Island. Ethan H Kisch M.D. physically located at 75 Lambert Lind Hwy, Warwick RI, 02886-1131. NPI Number Ethan H Kisch M.D. has the Individual type.

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1063480002 NPI number is provided on an as is basis without warranty of any kind. 1063480002 is maintained by the National Plan & Provider Enumeration System. The contents of Ethan H Kisch M.D. are for informational purposes only.