Individual
DR. MASON ALEXANDER BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8450
(401) 444-5088
Mailing address
151 OCEAN RD, APT #14, NARRAGANSETT, RI 02882-1355
(917) 544-0210
(401) 444-5088
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LP00952
RI
Other
Enumeration date
04/16/2007
Last updated
05/12/2010
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