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Organization

APPLE VALLEY FAMILY TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN A FANNING D.O. (MEDICAL DIRECTOR)
(401) 949-2010
Entity
Organization

Contact information

Practice address
466 PUTNAM PIKE, GREENVILLE, RI 02828-3002
(401) 949-2010
(401) 949-4140
Mailing address
466 PUTNAM PIKE, GREENVILLE, RI 02828-3002
(401) 949-2010
(401) 949-4140

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
05/26/2006
Last updated
08/22/2020
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