Organization
KEVIN E BAILL, MD AND ASSOCIATES, LLC
Active
Other names
East Side Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ELLIOT BAILL MD (PRESIDENT)
(917) 447-2138
Entity
Organization
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(917) 447-2138
Mailing address
PO BOX 603198, PROVIDENCE, RI 02906-0198
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
12179
RI
Other
Enumeration date
02/04/2014
Last updated
03/13/2014
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