Individual
RAYMOND ENTWISTLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 SOUTH AVE, ATTLEBORO, MA 02703-4532
(508) 226-2290
Mailing address
184 FAIRWAY DR, ATTLEBORO, MA 02703-2741
(508) 226-2290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
70668
MA
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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