Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD14537 | RI |
NPI | 1023246287 |
---|---|
Provider Name | Cheston Cunha |
First Address | Providence, RI 02905-4406 |
Second Address | Providence, RI 02906-2853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2009 |
Last Update Date | 27/03/2014 |