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1023096278
JEFFREY M BUROCK
PROVIDENCE, RI
NPI
1023096278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: RI MD11229)
Enumeration Date
2006-01-07
Last Update Date
2008-05-22
Business Address
-- JEFFREY M BUROCK MD
164 SUMMIT AVE
PROVIDENCE, RI 02906-2853
Phone number: 401-793-4500
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Mailing Address
-- JEFFREY M BUROCK MD
PO BOX 3238
BOSTON, MA 02241-3238
Phone number: 866-689-8862
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