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1013910074
ROGER L. BROTMAN
PROVIDENCE, RI
NPI
1013910074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: RI 05415)
Enumeration Date
2005-05-24
Last Update Date
2007-07-08
Business Address
Dr. ROGER L. BROTMAN M.D.
825 N MAIN ST
PROVIDENCE, RI 02904-5707
Phone number: 401-521-9700
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Mailing Address
Dr. ROGER L. BROTMAN M.D.
825 N MAIN ST
PROVIDENCE, RI 02904-5707
Phone number: 401-521-9700
Copy
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