ERIC BRANTLEY

PROVIDENCE, RI
NPI1932324928
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: RI  LP00825)
Enumeration Date2007-04-16
Last Update Date2021-06-17
Business Address
ERIC BRANTLEY
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
Mailing Address
ERIC BRANTLEY
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
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