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Contact Information

JOHN A STOUKIDES, MD
1018 WATERMAN AVE
EAST PROVIDENCE, RI02914
 Phone: 401-231-0450
 Fax: 401-233-2387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN A STOUKIDES · (Male)

NPI Number 1639176357
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2005
Last updated 01/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • RI License # MD07851
  • RI Medicaid 7001413
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
  • ROGER WILLIAMS MEDICAL CENTER - (Acute Care)
    825 CHALKSTONE AVENUE
    PROVIDENCE, RI 02908
  • ST JOSEPH HEALTH SERVICES OF RI - (Acute Care)
    200 HIGH SERVICE AVENUE
    NORTH PROVIDENCE, RI 02904
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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