Organization
WESTERLY FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARTMUT DOERWALDT MD (OWNER)
(401) 348-5005
Entity
Organization
Contact information
Practice address
62 WELLS ST, WESTERLY, RI 02891-2924
(401) 348-5005
Mailing address
62 WELLS ST, WESTERLY, RI 02891-2924
(401) 348-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11609
RI
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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