specializing in family medicine in Providence, Rhode Island

NPI: 1528897980

Provider Type

2

Practice Locations

Mailing Location

3090 BRISTOL ST STE 200

COSTA MESA, CA 92626

📞 8887899585

📠 5628034500

Practice Location

10 DORRANCE ST

PROVIDENCE, RI 02903

📞 8887899585

📠 5628034500

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:8/1/2024
Last Updated:8/1/2024

Credentials

Primary Credential:
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