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Organization

WEST BAY SURGICAL ASSOCIATES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CANDACE L. DYER M.D. (PRESIDENT)
(401) 739-8010
Entity
Organization

Contact information

Practice address
390 TOLL GATE RD, STE.200, WARWICK, RI 02886-4326
(401) 739-8010
(401) 739-6087
Mailing address
390 TOLL GATE RD, STE.200, WARWICK, RI 02886-4326
(401) 739-8010
(401) 739-6087

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9003972
PR
Enumeration date
07/19/2005
Last updated
07/21/2022
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