NPI Registry.org

Elyssa Sham

NPI Registration Record

Provider / OrganizationNPIDate Certified
ELYSSA SHAM19024237752020-06-28
Entity TypeIndividual
Provider Name Elyssa Sham MD
Practice Office Address345 BLACKSTONE BLVD
PROVIDENCE, RI US
Practice Office Telephone5857669342
Mailing Address382 MORRIS AVE
PROVIDENCE, RI 029062644 US
HPT Codes
CodeLicense NoState
2084P0800X PRIMARYLP05103 RI
OPI Codes

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