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1417792847
ALEX POLUHA
PROVIDENCE, RI
NPI
1417792847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI LP06429)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
ALEX POLUHA MB BCh BAO
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
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Mailing Address
ALEX POLUHA MB BCh BAO
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number:
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