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Individual

MEGAN BOATENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-2206
(401) 921-6962
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LP06045
RI

Other

Enumeration date
04/10/2023
Last updated
07/15/2024
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