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1629399951
BENJAMIN JARED BAUER
PAWTUCKET, RI
NPI
1629399951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: RI LP01903)
Enumeration Date
2010-06-22
Last Update Date
2010-06-22
Business Address
DR. BENJAMIN JARED BAUER M.D.
111 BREWSTER ST FCC A
PAWTUCKET, RI 02860-4474
Phone number: 401-729-3469
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Mailing Address
DR. BENJAMIN JARED BAUER M.D.
111 BREWSTER ST FCC A
PAWTUCKET, RI 02860-4474
Phone number: 401-729-3469
Copy
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