Provider Demographics
NPI:1992334478
Name:MOLINA, CAROLYN FRANCES (DO)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:FRANCES
Last Name:MOLINA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 WARREN AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1432
Mailing Address - Country:US
Mailing Address - Phone:401-228-7887
Mailing Address - Fax:
Practice Address - Street 1:950 WARREN AVE STE 303
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1432
Practice Address - Country:US
Practice Address - Phone:401-228-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP05027207R00000X
RIDO01282207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine