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Individual

DAVID JAMES HEFFERNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 02905-3236
(401) 553-8355
(401) 868-2314
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD12524
RI
2086S0102X
Surgical Critical Care Physician
42633
TN
2086S0127X
Trauma Surgery Physician
42633
TN
2086S0127X
Trauma Surgery Physician
MD12524
RI

Other

Enumeration date
01/04/2007
Last updated
01/29/2020
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