Individual
ALLEN MANSFIELD DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
286 MAPLE AVE, BARRINGTON, RI 02806-3437
(404) 247-0610
(401) 245-7362
Mailing address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 253-8900
(401) 253-3131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 06104
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000303
B/S
RI
01
—
000630
BCHIP
RI
01
—
04-00518
UNITED HEALTH CARE
RI
01
—
110113980
RAILROAD MEDICARE
RI
01
—
3822
NEIGHBORHOOD HEALTH
RI
01
—
406137
TUFTS HEALTH PLAN
RI
01
—
697704
HARVARD PILGRIM HEALTH
RI
05
—
AD00546
—
RI
Enumeration date
08/02/2005
Last updated
07/10/2012
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