MACDONELL STANFORD

PROVIDENCE, RI
NPI1699398933
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: RI  LP04930)
Enumeration Date2020-05-21
Last Update Date2020-05-21
Business Address
MACDONELL STANFORD MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5127
Mailing Address
MACDONELL STANFORD MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5127
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