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1477723104
CHARLES TITA TITA
PROVIDENCE, RI
NPI
1477723104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4301091444)
Enumeration Date
2008-03-10
Last Update Date
2008-03-10
Business Address
Dr. CHARLES TITA TITA MD
104 LUBEC ST
PROVIDENCE, RI 02904-1620
Phone number: 401-256-8833
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Mailing Address
Dr. CHARLES TITA TITA MD
104 LUBEC ST
PROVIDENCE, RI 02904-1620
Phone number: 401-256-8833
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