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Contact Information

SEAN B EDEN, PA-C, MD
1195 N MAIN ST
FL 2
PROVIDENCE, RI02904
 Phone: 401-340-1000
 Fax:
 Website: https://www.eastsideprimarycareprovidence.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SEAN B EDEN · (Male)

NPI # 1700323490
Status Active
Credentials PA-C, MD
Entity Individual
Enumeration date 01/19/2017
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00620000
  • RI License # PA00933
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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