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Individual

JAMES M TAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8362
(401) 444-8366
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00599
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02264799
NY
Enumeration date
05/04/2006
Last updated
02/04/2019
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