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Organization
SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN
Active
Organization
SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE BRENNAN MD (PHYSICIAN)
(401) 272-1550
Entity
Organization
Contact information
Practice address
695 EDDY ST, SUITE 21, PROVIDENCE, RI 02903-4941
(401) 272-1550
Mailing address
695 EDDY ST, SUITE 21, PROVIDENCE, RI 02903-4941
(401) 272-1550
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8926
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9020313
—
RI
Enumeration date
03/17/2015
Last updated
03/17/2015
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