NPI 1063984417
Jimmy Ansong
Practice location
- Address
- 61 McClellan St, Providence, RI 02909-5619
- Phone
- (401) 474-0392
- Fax
- (401) 719-0651
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1063984417
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Dec 2018
- Record last updated
- 26 Dec 2018
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.