Individual
DR. JONATHAN ROGER GRAMOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3770 MENDON ROAD, CUMBERLAND, RI 02864
(401) 658-0111
(401) 658-4050
Mailing address
3770 MENDON ROAD, CUMBERLAND, RI 02864
(401) 658-0111
(401) 658-4050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2548
MA
111N00000X
Chiropractor
Primary
DCP 00408
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21036 8
BCBS
RI
01
—
44 00564
UNITED HEALTHCARE
—
Enumeration date
01/02/2007
Last updated
07/08/2007
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