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1902850274
ANDREW BOSTOM
PROVIDENCE, RI
NPI
1902850274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI MD09437)
Enumeration Date
2006-05-20
Last Update Date
2008-08-05
Business Address
-- ANDREW BOSTOM MD
593 EDDY ST APC 9
PROVIDENCE, RI 02903-4923
Phone number: 401-444-6460
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Mailing Address
-- ANDREW BOSTOM MD
PO BOX 1358
PROVIDENCE, RI 02901-1358
Phone number:
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