Jeffrey Riese M.D.

NPI 1649408725 - Pediatrics - 208000000X

NPI Details
NPI 1649408725
Gender Male
Enumeration Date 06/26/2009
Last Updated 03/26/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
593 EDDY ST
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-7396
Fax (401) 444-7502
Business Location
593 EDDY ST
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-7396
Fax (401) 444-7502
Toxanomy
Taxonomy Code 208000000X
License State Rhode Island
License Number MD13981
Remove 1649408725 NPI Number
 

According to our database, Dr. Jeffrey Riese M.D. NPI is 1649408725, taxonomy code is 208000000X and license number is MD13981, license state is located at Rhode Island. Jeffrey Riese M.D. physically located at 593 Eddy St, Providence RI, 02903-4923. NPI Number Jeffrey Riese M.D. has the Individual type.

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1649408725 NPI number is provided on an as is basis without warranty of any kind. 1649408725 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Riese M.D. are for informational purposes only.