Individual
DR. MANOJ KUMAR GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 WARREN AVE, STE 100, EAST PROVIDENCE, RI 02914-1430
(401) 383-9662
(401) 383-6526
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO 00528
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0483739
TAX ID
RI
05
—
7009041
—
RI
Enumeration date
12/17/2005
Last updated
04/02/2024
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