IndividualActive
Georges Abi Roustom, MD
NPI 1548871908 · Anesthesiology Physician · Providence, RI
Provider details
- NPI number
- 1548871908
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD20454 (RI)
Practice location
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5172
Fax: (401) 444-5090
Mailing address
593 Eddy St
Providence, RI 02903-4923
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.