William Bogan Brooks III MD

NPI 1093822918 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1093822918
Gender Male
Enumeration Date 08/24/2006
Last Updated 07/09/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
164 SUMMIT AVE.
PROVIDENCE RI, 02906, US
Phone (401) 793-4300
Fax (401) 793-4312
Business Location
PO BOX 3238
BOSTON MA, 02241, US
Phone (866) 689-8862
Fax (207) 347-7401
Toxanomy
Taxonomy Code 2084P0800X
License State Maine
License Number 012234
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According to our database, William Bogan Brooks III MD NPI is 1093822918, taxonomy code is 2084P0800X and license number is 012234, license state is located at Maine. William Bogan Brooks III MD physically located at 164 Summit Ave., Providence RI, 02906. NPI Number William Bogan Brooks III MD has the Individual type.

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1093822918 NPI number is provided on an as is basis without warranty of any kind. 1093822918 is maintained by the National Plan & Provider Enumeration System. The contents of William Bogan Brooks III MD are for informational purposes only.