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1437778610
DARYA FISCHBACH LONG
PROVIDENCE, RI
NPI
1437778610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-08
Last Update Date
2023-06-30
Business Address
DARYA FISCHBACH LONG MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
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Mailing Address
DARYA FISCHBACH LONG MD
136 ELTON ST FL 1
PROVIDENCE, RI 02906-5432
Phone number: 412-508-1057
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