Healthcare Provider Details

I. General information

NPI: 1124059696
Provider Name (Legal Business Name): AMANDA B PRESSMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA BETH METTER M.D.

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 WEST RIVER STREET 3RD FLOOR
PROVIDENCE RI
02904
US

IV. Provider business mailing address

117 ELLENFIELD ST STE 101
PROVIDENCE RI
02905-4513
US

V. Phone/Fax

Practice location:
  • Phone: 401-793-5700
  • Fax: 401-793-7801
Mailing address:
  • Phone: 401-444-6779
  • Fax: 401-444-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD12931
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: