Organization
BRISTOL NEUROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE PATRICK-MACKINNON MD (OWNER)
(401) 254-6055
Entity
Organization
Contact information
Practice address
448 HOPE ST, BRISTOL, RI 02809-1806
(401) 254-6044
(401) 254-0417
Mailing address
10 ORMS ST, SUITE 110, PROVIDENCE, RI 02904-2228
(401) 453-0666
(410) 453-9619
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
04/27/2006
Last updated
08/22/2020
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