ELIA SHAMMAS MD INC.
Psychiatric in Providence, RI

License number
Rhode Island 3992
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. ELIA SHAMMAS MD
Title: OWNER
Phone: (401) 831-6682
Address
Address
One Randall Sq SUITE 302, Providence, RI 02904
National Provider ID: 1104153683
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELIA SHAMMAS M.D., INC

Providence, RI

Industry:
PSYCHIATRIC PRACTICE, Medical Doctor's Office
Doing business as:
Elia Shammas MD Inc
Registration:
Aug 26, 1971
Phone:
(401) 831-6682 (Phone)
Addresses:
33 Faunce Dr, Providence, RI 02906 (Physical)
1 Randall Sq, Providence, RI 02904
State ID:
000010483
Business type:
Professional Service Corporation
Manager, Office Managers:
Elia Shammas (PRESIDENT, President, Medical Doctor, Owner), 1 Randall Sq S-302, Providence, RI 02904 (Physical),Donna Payne Manager, Office Manager, inactive
Agent:
Elia Shammas, M.d,1 Randall Sq, Providence, RI 02904 (Physical)

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