Individual
DR. RICARDO GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB.BS.
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
556 ATWELLS AVE, PROVIDENCE, RI 02909-2767
(978) 836-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CLP05719
RI
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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