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1063692184
EARLE O ASSANAH
PROVIDENCE, RI
NPI
1063692184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 223572)
Enumeration Date
2007-11-06
Last Update Date
2022-08-04
Business Address
EARLE O ASSANAH M.D.
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5174
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Mailing Address
EARLE O ASSANAH M.D.
125 METRO CENTER BLVD STE 2000
WARWICK, RI 02886-1785
Phone number: 401-921-9202
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