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Contact Information

SOUTHERN NEW ENGLAND RETINA ASSOCIATES, PC
1 RANDALL SQ
SUITE 203
PROVIDENCE, RI02904-2709
 Phone: 401-453-4600
 Fax: 401-453-0077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for SOUTHERN NEW ENGLAND RETINA ASSOCIATES PC · (Female)

NPI Number 1548228794
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2006
Last updated 07/20/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9762591
  • RI Medicaid 9004676
  • MA Other M19151 BCBS
  • RI Other 7246790 AETNA
  • RI Other 624129 TUFTS HEALTH CARE
Hospital affiliation(s) Not Available
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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