ANDREW BOSTOM

PROVIDENCE, RI
NPI1902850274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: RI  MD09437)
Enumeration Date2006-05-20
Last Update Date2008-08-05
Business Address
-- ANDREW BOSTOM MD
593 EDDY ST APC 9
PROVIDENCE, RI 02903-4923
Phone number: 401-444-6460
Mailing Address
-- ANDREW BOSTOM MD
PO BOX 1358
PROVIDENCE, RI 02901-1358
Phone number: