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1366718090
JOSE M RENGIFO
PROVIDENCE, RI
NPI
1366718090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: RI CMD15380)
Enumeration Date
2012-03-27
Last Update Date
2017-01-18
Business Address
JOSE M RENGIFO MD
345 BLACKSTONE BLVD BUTLER HOSPITAL
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6655
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Mailing Address
JOSE M RENGIFO MD
345 BLACKSTONE BLVD BUTLER HOSPITAL
PROVIDENCE, RI 02906-4800
Phone number:
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