Individual
MRS. GWYNETH GRANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 CANDACE ST, PROVIDENCE, RI 02908-3747
(401) 444-0550
(401) 444-0425
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(440) 144-4040
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD07266
RI
Other
Enumeration date
08/30/2005
Last updated
08/29/2007
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