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1821433053
PAUL P KOFFER
PROVIDENCE, RI
NPI
1821433053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: RI MD16186)
Enumeration Date
2013-05-01
Last Update Date
2018-10-15
Business Address
PAUL P KOFFER M.D.
593 EDDY ST
PROVIDENCE, RI 02903
Phone number: 401-444-3600
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Mailing Address
PAUL P KOFFER M.D.
800 WASHINGTON ST. BOX 1013: PROVIDER ENROLLMENT
BOSTON, MA 02111-1552
Phone number: 617-636-8153
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