Organization
GOVERNOR DIAGNOSTIC AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL TOBY MARWIL (SOLE PROPRIETOR)
(401) 351-5730
Entity
Organization
Contact information
Practice address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 351-5730
(401) 331-6260
Mailing address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 351-5730
(401) 331-6260
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
5984
RI
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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