Individual
DR. BRIAN CORMAC MAC GRORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY STREET, APC 5, PROVIDENCE, RI 02903
(401) 444-6440
(401) 444-6858
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
MD15639
RI
Other
Enumeration date
06/15/2012
Last updated
02/06/2019
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