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Organization

MMHC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT DUWORS PH.D. (PRESIDENT)
(401) 624-7500
Entity
Organization

Contact information

Practice address
1808 MAIN RD, TIVERTON, RI 02878-4625
(401) 624-7500
Mailing address
1808 MAIN RD, TIVERTON, RI 02878-4625
(401) 624-7500

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
RI

Other

Enumeration date
01/30/2015
Last updated
01/30/2015
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