Individual
DR. BRETON ROUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 STANIFORD STREET, PROVIDENCE, RI 02905-4923
(401) 421-8800
Mailing address
33 STANIFORD ST FFL 2, PROVIDENCE, RI 02905-3105
(401) 421-8800
(401) 273-6510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD16607
RI
207RG0100X
Gastroenterology Physician
Primary
MD16607
RI
Other
Enumeration date
05/26/2016
Last updated
06/26/2023
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