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Individual

DR. CHRISTIAN RENE HERARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 TOLLGATE ROAD, SUITE 302, WARWICK, RI 02886-4448
(401) 738-4014
(401) 738-4090
Mailing address
300 TOLLGATE ROAD, SUITE 302, WARWICK, RI 02886-4448
(401) 738-4014
(401) 738-4090

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD04846
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001021
BLUE CHIP RI
RI
01
7287
BLUE CROSS RI
RI
01
7600208
UNITED HEALTH CARE
05
9000728
RI
Enumeration date
02/13/2007
Last updated
03/16/2015
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