Individual
DR. CLYDE H BELGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 457-3013
Mailing address
PO BOX 716, WAKEFIELD, RI 02880-0716
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD10936
RI
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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