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Organization
JACK P MOURAD,MD,INC
Active
Organization
JACK P MOURAD,MD,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK P MOURAD M.D. (PRESIDENT)
(401) 461-8450
Entity
Organization
Contact information
Practice address
226 AUBURN ST, CRANSTON, RI 02910-2852
(401) 461-8450
(401) 461-8640
Mailing address
226 AUBURN ST, CRANSTON, RI 02910-2852
(401) 461-8450
(401) 461-8640
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
8219
RI
Other
Enumeration date
09/29/2008
Last updated
12/22/2008
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