NPI 1003662941

Andre Jiorjios Moussa Kassis, MD

Practitioner Student in an Organized Health Care Education/Training Program Providence, RI

Practice location

Address: 593 Eddy St, Providence, RI 02903-4923
Phone: (401) 444-4741
Fax: (401) 444-4445

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence LP06210 (RI)

Other Student in an Organized Health Care Education/Training Program providers in Rhode Island →

Registry record

NPI: 1003662941
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2024
Record last updated: 29 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.