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Individual

CAROLYN K. MCGRATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
Mailing address
PO BOX 65377, CHARLOTTE, NC 28265-0377
(800) 377-8721
(304) 523-2241

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
045714
CT
207P00000X
Emergency Medicine Physician
MD08401
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27339-0
BCBS
RI
01
405400
BLUE CHIP
05
CM01796
RI
Enumeration date
02/20/2006
Last updated
01/11/2008
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