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Individual

ALEXANDAR GULLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2894
(401) 793-2500
Mailing address
43 BENSON AVE, WARWICK, RI 02888-4808

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
64055
RI

Other

Enumeration date
02/02/2023
Last updated
02/02/2023
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