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1720045438
STEPHEN T MERNOFF
PROVIDENCE, RI
NPI
1720045438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: RI 08403)
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN T MERNOFF M.D.
877 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2310
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Mailing Address
Dr. STEPHEN T MERNOFF M.D.
50 MAUDE ST
PROVIDENCE, RI 02908-4325
Phone number: 401-456-5368
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