Individual
BRENDAN T SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
75 SOCKANOSSET CROSS RD STE 100, CRANSTON, RI 02920-5558
(401) 946-6200
Mailing address
75 SOCKANOSSET CROSS RD STE 100, CRANSTON, RI 02920-5558
(401) 946-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01671
RI
Other
Enumeration date
12/29/2022
Last updated
03/19/2024
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