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1710993050
BARRY W WALL
PROVIDENCE, RI
NPI
1710993050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 77803)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
BARRY W WALL M.D.
184 WATERMAN ST
PROVIDENCE, RI 02906-4051
Phone number: 401-273-1010
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Mailing Address
BARRY W WALL M.D.
184 WATERMAN ST
PROVIDENCE, RI 02906-4051
Phone number: 401-273-1010
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