SOKUNVICHET LONG

PROVIDENCE, RI
NPI1437849866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: RI  LP05915)
Enumeration Date2023-05-09
Last Update Date2023-06-23
Business Address
SOKUNVICHET LONG MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5127
Mailing Address
SOKUNVICHET LONG MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5127
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