Most Relevant Information
Provider Data
| NPI Number: | 1003311028 |
| Provider Name: | JEFFREY EMMET THODE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2018 |
| Last Updated: | 06/07/2022 |
Provider Practice Location
148 W RIVER ST STE 8
PROVIDENCE
RI
029042615
Practice Location Phone/Fax
| Phone: | 4016063000 |
| Fax: | 4013318110 |
Provider Mailing Location
117 ELLENFIELD ST STE 101
PROVIDENCE
RI
029054541
Provider Mailing Phone/Fax
| Phone: | 4014446779 |
| Fax: | 4014446912 |