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1114900024
GLENN G. FORT
WOONSOCKET, RI
NPI
1114900024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI MD07281)
Enumeration Date
2005-11-23
Last Update Date
2007-07-09
Business Address
-- GLENN G. FORT MD
115 CASS AVE LANDMARK MEDICAL CENTER
WOONSOCKET, RI 02895
Phone number: 401-766-3428
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Mailing Address
-- GLENN G. FORT MD
115 CASS AVE LANDMARK MEDICAL CENTER
WOONSOCKET, RI 02895
Phone number: 401-766-3428
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