IndividualActive
Andre Moussa Kassis, MD
NPI 1003662941 · Student in an Organized Health Care Education/Training Program · Providence, RI
Provider details
- NPI number
- 1003662941
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- LP06210 (RI)
Practice location
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4741
Fax: (401) 444-4445
Mailing address
593 Eddy St
Providence, RI 02903-4923
Registry dates
- Enumerated
- 2024-04-29
- Last updated
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.