Individual
DAVID A HEREC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 WAMPANOAG TRL, SUITE 200, RIVERSIDE, RI 02915-1217
(401) 433-9880
(401) 433-9838
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50883
MA
207R00000X
Internal Medicine Physician
Primary
MD05953
RI
Other
Enumeration date
06/02/2006
Last updated
10/04/2012
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