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1194764019
EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
PROVIDENCE, RI
NPI
1194764019
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Entity Type
Organization
Authorized Contact
DAVID C PACKO
President
330-493-4443
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2006-06-06
Last Update Date
2007-10-23
Business Address
EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 330-493-4443
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Mailing Address
EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
4535 DRESSLER RD NW
CANTON, OH 44718-2545
Phone number: 330-493-4443
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