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Contact Information

AMIR BERNABA, MD
111 BREWSTER ST
PAWTUCKET, RI02860-4400
 Phone: 401-729-2419
 Fax: 401-729-2517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for AMIR BERNABA · (Male)

NPI # 1477766749
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2007
Last updated 09/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • RI License # MD12956
  • MA Medicaid 110087756A
  • RI Medicaid AB76065
  • RI Other 001119601 MEDICARE PTAN
Hospital affiliation(s)
  • KENT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    455 TOLL GATE RD
    WARWICK, RI 02886
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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