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Contact Information

SHELDON D MALCOLM, DO
355 PRAIRIE AVE
PROVIDENCE, RI02905
 Phone: 401-444-0570
 Fax: 401-444-0427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SHELDON D MALCOLM · (Male)

NPI # 1104054261
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/29/2009
Last updated 05/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 254236
  • RI License # DO00835
Hospital affiliation(s)
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
  • WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND - (Acute Care)
    101 DUDLEY STREET
    PROVIDENCE, RI 02905
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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