-- SIMONE THAVASEELAN --
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1053530782- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2 DUDLEY ST STE 185, PROVIDENCE, RI, 029053247
- Phone
- (401) 444-5795
Specialties & Taxonomies
Urology
Primary License: RI #MD13391