Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD15732 | RI |
NPI | 1417161654 |
---|---|
Provider Name | Dr. Adena J Osband |
First Address | Rumford, RI 02916-0697 |
Second Address | Providence, RI 02905-3248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 29/01/2020 |