IndividualActive
Andrew Bostom, MD
NPI 1902850274 · Internal Medicine Physician · Providence, RI
Provider details
- NPI number
- 1902850274
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD09437 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
Apc 9
Providence, RI 02903-4923
Phone: (401) 444-6460
Fax: (401) 444-2217
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1358
Providence, RI 02901-1358
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2008-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.