NPI 1104054261

Sheldon D. E. Malcolm, DO

Practitioner Family Medicine Physician Providence, RI

Practice location

Address: 355 Prairie Ave, Providence, RI 02905
Phone: (401) 444-0570
Fax: (401) 444-0427
Mailing address: 375 Allens Ave, Providence, RI 02905-5010

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO00835 (RI)

Other Family Medicine providers in Rhode Island →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 254236 (MA)

Registry record

NPI: 1104054261
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2009
Record last updated: 7 May 2019

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.