Healthcare Provider Details

I. General information

NPI: 1013987353
Provider Name (Legal Business Name): CHRISTOPHER S. NASIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 06/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 QUARRY RD URI STUDENT HEALTH SERVICES
KINGSTON RI
02881-1116
US

IV. Provider business mailing address

6 BUTTERFIELD RD, POTTER BUILDING URI STUDENT HEALTH SERVICES
KINGSTON RI
02881
US

V. Phone/Fax

Practice location:
  • Phone: 410-529-4023
  • Fax:
Mailing address:
  • Phone: 401-529-4023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD12990
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: