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1013178029
TODD S STAFFORD
PROVIDENCE, RI
NPI
1013178029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: RI MD14236)
Additional Taxonomies
208600000X Surgery
(Licence: RI LP01494)
Enumeration Date
2008-06-23
Last Update Date
2020-01-29
Business Address
TODD S STAFFORD MD
195 COLLYER ST STE 302
PROVIDENCE, RI 02904-1869
Phone number: 401-228-0633
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Mailing Address
TODD S STAFFORD MD
PO BOX 16149
RUMFORD, RI 02916-0697
Phone number: 401-453-9625
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