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Organization
GOVERNOR DIAGNOSTIC AND TREATMENT CENTER
Active
Organization
GOVERNOR DIAGNOSTIC AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL TOBY MARWIL (SOLE PROPRIETOR)
(401) 351-5730
Entity
Organization
Contact information
Practice address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 351-5730
(401) 331-6260
Mailing address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 351-5730
(401) 331-6260
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
5984
RI
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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