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Dr. Andre Luiz Pitanga Bastos De Souza, MD
Hematology & Oncology Physician in Providence, Rhode Island
NPI 1053676627

Andre Luiz Pitanga Bastos De Souza is a Hematology & Oncology Physician based in Providence, RI and is specialized in Hematology & Oncology. Andre Luiz Pitanga Bastos De Souza practices in Providence, RI and has the professional credentials of MD. The NPI Number for Andre Luiz Pitanga Bastos De Souza is 1053676627 and holds a License No. MD16354 (Rhode Island).

The current practice location address for Andre Luiz Pitanga Bastos De Souza is 825 Chalkstone Ave, Providence, RI and can be reached out via phone at 401-456-5790.

Location: 825 Chalkstone Ave, Providence, RI, 02905-4513
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Provider Profile Details
NPI Number
1053676627
Provider Name
Andre Luiz Pitanga Bastos De Souza
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
825 Chalkstone Ave, Providence, RI, 02905-4513
Phone Number
401-456-5790
Fax Number
Provider Enumeration Date
07/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
825 Chalkstone Ave
City
State
Zip
02908
Phone Number
401-456-5790
Fax Number
person
Provider Business Mailing Address Details
Address
825 Chalkstone Ave
City
State
Zip
02908
Phone Number
401-456-5790
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
MD16354 (Rhode Island)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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