Rodriguez, Faridah T

Rodriguez, Faridah T is an individual health care provider with primary practice located at 186 Providence St , West Warwick RI 02893-2508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rodriguez, Faridah T can be contacted via phone (401) 615-2800.

Contact Information

Primary practice address
186 Providence St West Warwick RI 02893-2508
Phone: (401) 615-2800
Fax: (401) 615-2805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD13379 Rhode Island

Profile Details

NPI number 1902050503
LBN Legal business name Rodriguez, Faridah T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2008
Last updated Jan 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902050503 NPPES
Rhode Island MEDICAID FR82330

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