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Individual

DR. JOHN DAVID PRINSCOTT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3136
(401) 456-3621
Mailing address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3136
(401) 456-3621

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD07716
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000002571
BLUE CROSS
01
0500197999
PALMETTO GBA
05
7002966
RI
Enumeration date
02/02/2006
Last updated
07/08/2007
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