Individual provider · Type 1 NPI

Adderly Marcell Toribio de Jesus, MD

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

NPI number 1689235723 Active

Practice location

825 Chalkstone Ave
Providence, RI 02908-4728

Call (401) 456-2000 Map

Mailing address

20 Hawthorne St Apt 2
Providence, RI 02907-2965

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10090517 (TX)
Internal Medicine Physician 207R00000XLP04762 (RI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689235723

Adderly Marcell Toribio de Jesus, MD's National Provider Identifier is 1689235723, issued on Jun 27, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on Jun 26, 2024.