John Gormley Slattery MD

NPI 1033109236 - Family Medicine - 207Q00000X

NPI Details
NPI 1033109236
Gender Male
Enumeration Date 10/27/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
925 MAIN ST
EAST GREENWICH RI, 02818-3116, US
Phone (401) 884-5333
Fax (401) 884-5664
Business Location
925 MAIN ST
EAST GREENWICH RI, 02818-3116, US
Phone (401) 884-5333
Fax (401) 884-5664
Toxanomy
Taxonomy Code 207Q00000X
License State Rhode Island
License Number RI8483
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According to our database, Dr. John Gormley Slattery MD NPI is 1033109236, taxonomy code is 207Q00000X and license number is RI8483, license state is located at Rhode Island. John Gormley Slattery MD physically located at 925 Main St, East Greenwich RI, 02818-3116. NPI Number John Gormley Slattery MD has the Individual type.

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1033109236 NPI number is provided on an as is basis without warranty of any kind. 1033109236 is maintained by the National Plan & Provider Enumeration System. The contents of John Gormley Slattery MD are for informational purposes only.