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1255386868
PROVIDENCE UROLOGY, LLC
PROVIDENCE, RI
NPI
1255386868
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Entity Type
Organization
Authorized Contact
HARRY M IANNOTTI
President
401-521-4333
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2006-05-23
Last Update Date
2011-12-06
Business Address
PROVIDENCE UROLOGY, LLC
1165 N MAIN ST SUITE 200
PROVIDENCE, RI 02904-5740
Phone number: 401-521-4333
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Mailing Address
PROVIDENCE UROLOGY, LLC
340 MAIN ST STE. 670
WORCESTER, MA 01608-1604
Phone number: 508-754-3566
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