# GERET A DU BOIS MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386948719
- **Authorized official:** GERET ALAN DU BOIS MD (PRESIDENT)
- **Authorized official phone:** (401) 723-8300

## Contact information

- **Practice address:** 330 COTTAGE ST, PAWTUCKET, RI 02860
- **Practice address phone:** (401) 723-8300
- **Practice address fax:** (401) 723-8008
- **Mailing address:** P.O. BOX L, PAWTUCKET, RI 02861-0730
- **Mailing address phone:** (401) 723-8300
- **Mailing address fax:** (401) 723-8008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 4693 | RI | Yes |

## Other

- **Enumeration date:** 12/28/2010
- **Last updated:** 12/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9020415 | — | RI |