Organization
EDWARD J GAUTHIER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T DAWSON (PRACTICE MANAGER)
(401) 572-3120
Entity
Organization
Contact information
Practice address
1332 SMITH ST, N PROVIDENCE, RI 02911-3303
(401) 273-5277
(401) 751-2980
Mailing address
PO BOX 8879, CRANSTON, RI 02920-0879
(401) 572-3120
(401) 572-3351
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
3421
RI
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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