Lance D Dworkin MD

NPI 1053358770 - Internal Medicine - 207RN0300X

NPI Details
NPI 1053358770
Gender Male
Enumeration Date 06/01/2006
Last Updated 11/17/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
593 EDDY ST
APC 9
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-5445
Fax (401) 444-8453
Business Location
PO BOX 1358
PROVIDENCE RI, 02901-1358, US
Phone
Fax
Toxanomy
Taxonomy Code 207RN0300X
License State Rhode Island
License Number MD08362
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According to our database, Lance D Dworkin MD NPI is 1053358770, taxonomy code is 207RN0300X and license number is MD08362, license state is located at Rhode Island. Lance D Dworkin MD physically located at 593 Eddy St, Providence RI, 02903-4923. NPI Number Lance D Dworkin MD has the Individual type.

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1053358770 NPI number is provided on an as is basis without warranty of any kind. 1053358770 is maintained by the National Plan & Provider Enumeration System. The contents of Lance D Dworkin MD are for informational purposes only.